OCT 2O,2018 SOCCER TOURNAMENT
SPONSORED BY:
Centre Communaitare Régional de London (CCRL)
Register your team today! COST $100 /TEAM
Co-ed teams are encouraged to sign up!
SPECTATORS WELCOME!!
Friendly Competition – Snacks – Skills Contest
Trophy and medals for the winners
Phone: 226-289-2668, Email: syad@acfola.ca for more information!
The tournament will be Round Robin and the number of games will be dependent on the number of teams that register. Games will 40 minutes in length.
Final games will be played in the afternoon.
Soccer Tournament – Team Registration, Team Roster and Liability Forms
Registration Checklist
The following items must be completed and submitted by October 17, 2018 to be registered for the tournament. Complete, scan and email to the Youth and Sport Director at syad@acfola.ca .
___ Registration Form (signed)
___ Team Roster (signed by parent/guardian if player under 16)
___ Registration Fee (check, cash, e-transfer, money order)
___ Waiver and Release of Liability (signed)
| About the Team |
Team Name: Representing (Country):
| Team Captain: Email |
| Alternate Contact:
Email: Telephone |
I would like to register a team for the ACFOLA Youth Soccer Tournament. If this registration is accepted, I will be responsible for my team’s fulfillment of all rules and regulations established for the operation of the tournament.
| Captain’s Signature: | Date: |
TEAM ROASTER
*If under age 16, parental or guardian permission is required.
Under 16 Player Name: _____________________________________________________________________________
Parent / Guardian Signature: ________________________________________ Date: ___________________________
For office use.
Date Appl. Received. ______________ Date Fees Received: _______________Received by:____________________
2018 Annual Soccer Tournament Waiver of Liability and Release Form
This form must be completed for each soccer player (participant) and, if the player is under 16 years old, must be signed by the player’s parent or legal guardian. No player will be allowed to participate in ACFOLA tournament games without this form, properly executed, and on file.
PARTICIPANT’S NAME (type or print):
PARTICIPANT’S DATE OF BIRTH (mm/dd/yyyy):
I, the undersigned, in consideration for my voluntary participation in organized soccer, do hereby willfully acknowledge that my signature below attests to my understanding and agreement that:
My player status will be kept in good standing. I will not compromise myself in such a way as to do harm to the tournament, knowing that players may be dismissed for violent conduct or unsportsmanlike behavior on or off the field of play. I agree to pay for any and all damages to any property or indemnities caused by me willfully, negligently, or otherwise.
Soccer is a physical, contact, sport that involves the risk of injury. I assume all risks and hazards associated with my participation in the sport. I am in proper physical condition to participate in soccer practices and games and have no illness, disease or existing injury or physical defect that would be aggravated by my participation. I will inform my coach if this status changes. I further acknowledge that this risk may involve loss or damage to me or my property, including the risk of death, or other unforeseen consequences, including those which may be due to the unavailability of immediate emergency medical care. I have a current medical consent form in force. I will wear shin guards, properly-fitted and appropriate shoes, and other protective equipment to all events.
The tournament does not have personal injury insurance that covers my participation. Therefore, I should have a current, active, personal injury insurance policy in force, which covers my participation. Under any condition, I am responsible for any and all medical expenses arising from my participation, both in practices and games and while travelling to and from these events. I have the right and responsibility to inspect the equipment and facilities prior to events and, if I believe that anything may be unsafe, I will advise the coach or supervisor of the condition and may refuse to participate. Participation assumes consent.
I authorize my photograph, picture or likeness, and voice to appear in any documentary, promotion (including advertising), television, video, or radio coverage of the tournament, without compensation.
I authorize that an unaltered copy of this form may be generated and given to the officers or directors of tournaments in order to allow my participation in their soccer programs, if the form is required and I have requested to participate.
I hereby release, waive liability, discharge, hold harmless, indemnify, and covenant not to sue, the AFRICAN CANADIAN FEDERATION OF LONDON AND AREA, its associated directors, administrators, officers, managers, employees, coaches, trainers, volunteers, sponsors and advertisers, and other agents from any and all liability incurred in the conduct of, and my participation in, their soccer programs. This includes owners, lessors, and lessees of premises, municipalities, government agencies, successors, heirs, and assigns.
I have completely read this document and fully understand its contents. I acknowledge that I have given up substantial rights by accepting this document and that I do so voluntarily. My signature attests to this on behalf of myself and my executors, personal representatives, administrators, heirs, next-of-kin, successors, and assigns.
For those individuals eighteen (16) years of age and older:
___________________________ __________________________ _______________
Participant’s Name (PRINT) Participant’s Signature Date Signed
For those individuals under the age of eighteen (18) years (minor):
As the parent and natural guardian or legal guardian of the participant, __________________________, I hereby agree to the foregoing Waiver of Liability and Release for, and on behalf of, the participant (player/minor) named above. I hereby bind myself, the minor, and all other assigns to the terms of the Waiver of Liability and Release. I represent and certify that I have the legal capacity and the authority to act for, and on behalf of, the minor in the execution of this Waiver of Liability and Release.
___________________________ __________________________ _______________
Parent or Guardian Name (PRINT) Parent or Guardian Signature Date Signed
Keep a signed copy for your records.
To order your tickets please click eventbrite ticketing: https://www.eventbrite.ca/e/acfola-fundraising-dinner-dance-and-silent-auction-tickets-43562756377?utm_term=eventurl_text