Player Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
(YYYY-MM-DD)
MM
DD
YYYY
If you are assigned to a team, enter the team name here
Skill level
3 - Played consistently at a recreation level
4 - Played consistently at a competitive level
5 - Played consistently at a high level
2 - Played inconsistently or haven't played in a long time at a recreational level
1 - Trying something new
PLEASE READ - WAIVER
*
I, the applicant, on behalf of myself, members of my family, my heirs, executors, administrators and assignees, hereby forever release, discharge and hold harmless the S.O.M.S.L and the representatives and agents for any injury, illness, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in soccer activities. I voluntarily agree to abide by the Rules, Regulations, and Bylaws of the Canadian Soccer Association and its affiliates. Acceptance of this application by an authorized S.O.M.S.L. executive acknowledges registration and insurance coverage on one team for the current playing season. AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY In consideration of being allowed to participate in any way in the South Okanagan Men’s Soccer League athletic/sports program, related events and activities, the undersigned acknowledges, appreciates and agrees that:
1. The risk of injury (or illness) from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
2. I/WE KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my/our participation; and,
3. I/We willingly agree to comply with the stated and customary terms and conditions for participation. If however I observe any unusual significant hazard during my presence or participation, I/we will remove myself/ourselves from participation and bring such to the attention of the nearest official immediately; and
4. I/We, for myself/ourselves and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS, South Okanagan Men’s Soccer League , their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“Releasees:”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE; and,
5. I/WE HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above.
Check the appropriate box to accept the league terms / waiver and release of liability.
YOUTH PLAYERS ONLY - Name of Parent/Guardian
First Name
Last Name
