Team Name________________________Age/Division______________________
Coaches Name_________________________Manager's Name______________________________
Name of Player Parent/Guardian Signature Date
1.____________________________________________________________________________________
2. ____________________________________________________________________________________
3. ____________________________________________________________________________________
4. ____________________________________________________________________________________
5. ____________________________________________________________________________________
6.____________________________________________________________________________________
7.____________________________________________________________________________________
8. ____________________________________________________________________________________
9. ____________________________________________________________________________________
10. ____________________________________________________________________________________
11. ____________________________________________________________________________________
12. ____________________________________________________________________________________
13. ____________________________________________________________________________________
14. ____________________________________________________________________________________
15. ____________________________________________________________________________________
16. ____________________________________________________________________________________
17. ____________________________________________________________________________________
18. ____________________________________________________________________________________
Waiver of Liability:
Each parent acknowledges that soccer is a contact sport and their child is participating at their own risk. Each
parent/guardian agrees that the Soccer Grand Rapids and the Michigan Field Sports Complex their employees and ownership cannot accept the
responsibility or liability for any injuries sustained during this tournament. Each team will be responsible for
their own coaches and player and any injuries that may occur during this event.
Coach’s Signature_______________________________________________Date________________________