Home

SporTrak WAIVER FORM

  

TEAM NAME:

Age Group:

HEAD COACH NAME:

ADDRESS:

Phone:

Fax:

Email:

 

 

 

 

 

CONTACT NAME:

ADDRESS:

Phone

Fax:

Email:

 

 

 

 

 

 

            WE, the undersigned members of the __________________________ team and a participant at SporTrak, the indoor soccer center, agree to assume all risks and hazards incidental to such participation.  We also hereby waive, release, absolve, indemnify and agree to hold harmless the organizers, sponsors, supervisors, participants and corporation owners of the premises for any and all claims arising out of any injury from such participation.  We are fully aware that collisions are common and that injuries can result.  We accept the hazards of participation and the dangers of injury incident thereto including negligence or carelessness on the part of fellow players.

            SPORTRAK does NOT carry a hospitalization or liability policy to protect participants in their soccer program.  All individuals are present and involved AT THEIR OWN RISK.  Each player or parent agrees to provide personal hospitalization while participating in any program, further, to hold SPORTRAK harmless for any and all injuries or costs which pertain to their program.

            IF NOT 18 YEARS OLD, THE PARENT OR GUARDIAN MUST SIGN FOR PLAYER (AFTER YOU HAVE READ ALL OF THE ABOVE AND UNDERSTAND FULLY) BELOW.  IF 18 OR OVER, YOU MUST SIGN FOR YOURSELF.

 

ROSTER INFORMATION:

NAME

Address

Phone

Birthdate

Signature

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note… If team has more than 16 players on roster a second form will need to be filled in and attached.