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Bowling Green Winter Indoor Soccer Challenge Youth Team Waiver
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TEAM NAME ______________________________ Coach ____________________________________
Age Bracket_______________________________
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TEAM CONTACT ____________________________________________
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PlayersLegal Guardian
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 First NameLast Name First NameLast NameDatePARENT’S SIGNATURE
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Waiver Form
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REPRESENTATIONS, ACKNOWLEDGEMENTS, AND AGREEMENTS:
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1. I hereby represent and certify that the age of the registrant listed is correct and acknowledge and agree that the registrant is physically fit
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to engage in both structured and unstructured activities at the tournament locations.
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2. I acknowledge the inherent risk of serious injury or even death associated with soccer activities and I hereby release, discharge, and agree to
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indemnify and hold harmless Schoolcraft College, its Board of Trustees, Officers, Employees & Agents, St. Joe's Sports Dome, its owners, managers,
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affiliates and employees, Net Results LLC, its owners, managers, affiliates, and employees and from any and all claims by or on behalf of the registrant
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arising from the registrant’s participation in activities at the Motor City Indoor Soccer Challenge.
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3. I herby represent and certify that the registrant has adequate health insurance to cover any and all injuries occurring as a result of participation
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in soccer activities at the St. Joes Sports Dome and as participant, I hereby consent to any and all emergency medical care for participant and
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agree to pay for same.
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I certify that the above information is correct
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Coach or Team Contact ___________________________________________
_____________________________________
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Date
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