COED SOCCER REGISTRATION

•All players will receive a full uniform •All on artificial turf

•Times/Dates subject to change •Late registration fee of $25 applied after September 16th

•Private training and clinics available •All prices exclude tax

Organized League

Officially Refereed Matches

45 Minute Matches

Youth

Adult

Payment Due On Or Before First Day Cheques and Cash Only

Please select the team you wish to register for.

    
     
   

Payment Due On First Day Cash & Cheques

Please Read The Waiver Before Submitting Your Registration

Part A – RELEASE OF WAIVER FROM LIABILTY
The undersigned expressly acknowledges that sports and similar activities involve risk of physical injury greater than those encountered in daily life, and by participating in sports and other activities, members acknowledge and assume the risk inherent therein. NIAGARA SPORTSPLEX accept no responsibility, and shall not be liable, for any injury, illness, death, damage, loss, accident, expense, delay, or other irregularity resulting from a registered member’s participation in any activity or use of any of the facilities at NIAGARA SPORTSPLEX. In consideration of being permitted to enter and use the facilities at NIAGARA SPORTSPLEX, the undersigned HEREBY RELEASES, WAIVES, DISCHARGES AND CONVENANTS NOT TO SUE NIAGARA SPORTSPLEX, its officers, directors, employees, agents, servants and/or assigns for any and all damage, and any claim or demand therefore on account of INJURY or resulting DEATH of the registered member, of damage to property whether caused by the NEGLIGENCE OF NIAGARA SPROTSPLEX or otherwise while the registered member is in the facilities at NIAGARA SPORTSPLEX. Additionally, the undersigned hereby authorizes NIAGARA SPORTSPLEX to utilize the registered member’s name and/or photographic or verbal representation by any media format (i.e. video taping, audio tape interviews, photographs, etc) in the promotions of the programs of NIAGARA SPROTSPLEX. Also, each registered member acknowledges the rules of participation and safety of NIAGARA SPORTSPLEX and agrees to follow all such rules.
Part B – DECLARATION OF PARENT OR GUARDIAN
I consent to my child named above participating in the NIAGARA SPORTSPLEX activities and I assume all risks arising from or in ANY way related to such participation. I therefore agree to waive any and all claims against, to indemnify and hold harmless NIAGARA SPORTSPLEX its officers, directors, employees, agents, servants and/or assigns in connection with any claims made by or on the behalf of my child named above including legal costs. I certify that my child is in good physical and mental health. In case of a medical emergency, if I cannot be contacted directly, I hereby give permission to the physician selected by NIAGARA SPORTSPLEX to hospitalize, secure proper treatment for, and to order injections, transfusions, anesthesia, or surgery for my child, as named above. I acknowledge reading this Declaration and Part A and understand the conditions contained herein and agree to abide by all of the terms.
*** IF YOU ARE UNDER 18 YEARS OF AGE YOU MUST HAVE YOUR PARENT/GUARDIAN SIGN THIS WAIVER FORM!
By Submitting this form you are applying your digital signature and authorizing the information is correct and yours.