Fillable Western Suburban Soccer League Player Registration Form printable pdf download

WESTERN SUBURBAN SOCCER LEAGUE

PLAYER REGISTRATION FORM - Fall 20______ / Spring 20______

Name ____________________________________________________________________________________________________

LAST

FIRST

MIDDLE

Address _______________________________________________________________

Date of Birth _______________________

MONTH

DAY

YEAR

City ___________________________________State ______ Zip_______________Phone (_________)_________-____________

I voluntarily desire to play soccer for the ____________________________________

_________________________________

AFFILIATING CLUB or ASSOCIATION

TEAM NAME

competing in the Western Suburban Soccer League (WSSL). I understand that signing this form binds the above named player to the above

named affiliating club or association for the entire seasonal year (both Fall/Spring) unless an application for the transfer to another league

is approved by the WSSL using the WSSL Player Transfer Form. Transfer between WSSL Clubs or Associations will NOT be approved.

Signature of Player ✗ _____________________________________________________________

Date _______________

Signature of Parent/Guardian ✗ _____________________________________________________

Date _______________

I understand that signing this form binds the above named affiliating club or association to the above named player for the entire seasonal

year (both Fall/Spring) unless an application for the transfer to another league is approved by the WSSL using the WSSL Player Transfer

Form. Transfer between WSSL Clubs or Associations will NOT be approved.

Signature of Coach/Team Official ✗ _________________________________________________

Date _______________

Signature of Affiliating Club or

Association President or Registrar ✗ ________________________________________________

Date _______________

I, as the Affiliating Club or Association President or Registrar, confirm documentation

is on file with the Affiliating Club or Association that certifies the player’s age eligibility.

WESTERN SUBURBAN SOCCER LEAGUE

Athletic Waiver and Release of Liability

In consideration of being allowed to participate in any way in WSSL sanctioned soccer activities, the undersigned:

Acknowledges and fully understands that each participant will be engaging in activities that involve risk of serious injury,

including permanent disability and death, and severe social and economic losses which might result not only from their own

actions and/or inactions, but the negligence of others, the rules of play, or the condition of the premises or of any equipment

used, and acknowledges further, that there may be other risks not known or not reasonably foreseeable at this time;

Assumes all the foregoing risks and accepts personal responsibility for the damages following such injury, permanent

disability or death;

Releases, waives, discharges and covenants not to seek any legal action against the WSSL, its member Associations,

Affiliated Clubs, or teams and their respective administrators, directors, agents, coaches, and other employees of the

organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of

premises used to conduct the event, all of which are hereinafter, referred to as “Releasees”; from demands, losses or

damages on account of injury, including death or damages to property, caused or alleged to be caused in whole or in part

by the negligence of the “Releasees” or otherwise;

Agrees, in further consideration for my child’s participation, to hold harmless and indemnify the “Releasees” for any injury

resulting from my child’s conduct in the program; and

Agrees to accept and abide by all the rules, regulations, code of conduct and policies stated by the WSSL.

Printed Name of Parent/Guardian_________________________________________________

Signature of Parent/Guardian ✗___________________________________________________ Date______________

WHITE COPY: WESTERN SUBURBAN SOCCER LEAGUE • YELLOW COPY: TEAM OFFICIAL • PINK COPY: PLAYER

V.APR/2012

Western Suburban Soccer League Player Registration Form

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