I as team manager /captain by signing this roster on behalf of my team. I verify that my teams roster information is correct and discharge Indiana Futsal, Greenfield Area Soccer Club, Greenfield Central Community School Corporation from any claims of damages in any manner arising from his/her participation in this Snow Moon Classic Futsal Tournament program.
I as team manager /captain by signing this roster on behalf of my team agrees that the registrant and I will abide by the rules of the Indiana Futsal, Greenfield Area Soccer Club, its affiliated organizations and sponsors. Recognizing the possibility of physical injury associated with Futsal and in consideration for the Greenfield Area Soccer Club accepting the registrant for their Snow Moon Classic Futsal Tournament, I give my consent and agree to release, discharge and/or indemnify, and hold harmless Indiana Futsal, Greenfield Area Soccer Club,(DBA: Greenfield Soccer), it's directors and staff and all personnel, including officials, representatives, and including the owners of the gymnasiums and facilities utilized for the tournament, against any claim by or on behalf of a the registrant as a result of the registrant's participation in the Snow Moon Classic Tournament.
Furthermore, I give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or wellbeing of the registrant. I the registrant assume the responsibility for payment of such medical treatment.
Furthermore, I authorize the use of photos taken during said program to be used for Indiana Futsal Publications.
I as the manager of this team wish to register my team for this league. I will be responsible for managing my roster and the players listed. Furthermore, I agree to conduct myself with sportsmanship and will encourage my teammates to do the same.