Winter Goaltimate League Signup
Goaltimate league will be hosted by MUDA at Greenfield Midtown (Address: 820 South Willett, Memphis TN 38104). Games will take place from 6-8 PM on Wednesday nights starting on January 3rd, every week through February 21st. More details about length of games/how many per night to come based on registration. Registration will be $40 per player, with a $5 late fee for signups occurring after December 30th. Pay via paypal to
Name *
Your answer
Phone number *
Your answer
Email *
Your answer
Gender *
Age *
Your answer
Anticipated number of nights you will miss *
Buddy request (not guaranteed) *
Your answer
Are you willing to be a captain? Responsibilities are mainly drafting and score reporting. *
Adult Waiver/Release

In consideration of being allowed to participate in any way in Memphis Ultimate Disc Association Goaltimate League athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1) The risk of injury 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 KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3) I 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 will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Memphis Ultimate Disc Association Goaltimate League, their directors, officers, officials, agents, volunteers 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 ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I 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.

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/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 and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
______________________________________________ DATE

SIGNED:_____________________ (Parent/Guardian Signature)

Emergency Phone Number:_(________)_______________

Please mark "I agree" if you agree to the terms of the waiver displayed above. You will not be allowed to play in the league without doing so. For participants under the age of 18, a signed copy will need to be provided prior to play. *
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