Waiver - San Francisco Youth Field Hockey Tournament
Please complete one waiver for each participant.
Club Name *
1st player's Name *
Your answer
1st player's Age Group *
1st player's birth date *
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2nd Participant's Name (use only for a sibling)
Your answer
2nd Participant's Age Group
2nd player's birth date
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3rd Participant's Name (use only for a sibling)
Your answer
3rd Participant's Age Group
3rd player's birth date
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4th Participant's Name (use only for a sibling)
Your answer
4th Participant's Age Group
4th player's birth date
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Parent Email address *
Your answer
Release of Liability
I/We, the parent/guardian of the aforementioned child, hereby give permission for my/our child to participate in the San Francisco Youth Field Hockey Tournament. I/We understand there are obvious known dangers/risks inherent in participation in this tournament, including but not limited to injuries sustained through a fall or loss of personal property, and I/we voluntarily agree to assume such risks.

Based on my reputation that my/our child is in proper physical health and condition to participate, I agree:
1 . To assume all risk of injury to my child and risk of damage to or loss of my/our child's property arising from my child's participation in the San Francisco Youtth Field Hockey Tournament.
2. To release and forever discharge San Francisco Youth Field Hockey, its officers, agents, coaches, from any and all claims or liability for any injury, including death, and for property damage or loss which may be suffered by me or my child arising out of or in any connection with my child's participation in the San Francisco Youth Field Hockey Tournament and,
3. For my/our child, myself, our heirs, executors, administrators, and assigns to indemnify and hold harmless San Francisco Youth Field Hockey Club, its officers, agents, coaches from any and all liability, claims, demands, actions, loss and damage arising out of my child's participation in the San Francisco Youth Field Hockey Tournament.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN THE SAN FRANCISCO YOUTH FIELD HOCKEY TOURNAMENT AND MYSELF, ON BEHALF OF MY/OUR CHILD, AND I SIGN OF MY OWN FREE WILL.
RELEASE OF LIABILITY: By entering your full name below you agree to the RELEASE OF LIABILITY described above *
Your answer
Field Rules
I agree to keep all food and drinks, except water, off the Paul Goode Turf and use the designated picnic areas
FIELD RULES: By entering your full name below you agree to follow the FIELD RULES described above *
Your answer
Safety Equipment
I agree that my child will wear a mouth guard and shin guards while playing field hockey
SAFETY EQUIPMENT: By entering your full name below you agree to the follow the SAFETY EQUIPMENT guidelines described above *
Your answer
Media Release
The State of California Information Practices Act of 1977 requires that the following information be provided to individuals who are asked to supply information about themselves. The principle purpose for requesting the information on this form is to facilitate appropriate action by various departments at the tournmanet, and in the event of an emergency circumstance involving your child/ward. Institutional policy and State statutes authorize maintenance of this information. Furnishing any or all information on this form is voluntary. Information on this form may only be used by individuals who have the right to access this record as it pertains to themselves. The officials responsible for maintaining the information contained on this form are the employees and volunteers of San Francisco Youth Field Hockey.

I authorize use of player photos taken during the event for use on website and media.
Media Release: Please enter your full name below. Entering your full name will act as your electronic signature *
Your answer
Today's Date *
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