Greater Boston Soccer League
P.O. Box 211, S. Easton, MA 02375 (508) 577-1903
FALL 2018 REGISTRATION
(Return with payment)
YOUR NAME _ TEAM NAME______
EMAIL______ SHIRT COLOR______
HOME ADDRESS______
PHONE (Day)______(Eve)______
ALTERNATE CONTACT (REQUIRED FOR TEAMS):
NAME______EMAIL______
PHONE(Day)______(Eve)______
DIVISION (Circle):Co-ed
DO YOU HAVE A FIELD?NO YES* (* Discounts available for fields)
IF YES, WHERE/WHEN?______
PAYMENT:_____ TEAM @ $1,400.00* (Minimum $700 payment is required with registration by Sept 9,
(*$1,350 if paid by Sept 9) balance due before 3rd game. Contact GBSL headquarters for
field discounts or to request any other payment arrangements)
______INDIVIDUAL @ $100.00
Note: Registration cancellation is subject to $100/Team or $10/Individual processing fee.
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in Greater Boston Soccer League games, activities and related events, the undersigned:
1. Acknowledge and fully understand that you will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from your own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
2. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
3. Release, waive, discharge and covenant not to sue Greater Boston Soccer League, it's affiliated clubs, their respective administrators, directors, agents and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used to conduct any events, all of which are hereinafter referred to as "releasees", from any and all liability to the above signed, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
THE UNDERSIGNED HAVE READ THE ABOVE WAIVER AND RELEASE, AND VOLUNTARILY FORFEIT SUBSTANTIAL RIGHTS BY SIGNING BELOW ON BEHALF OF ALL MEMBERS OF YOUR TEAM, CONFIRMING ALL PLAYERS ACCEPTANCE OF THIS WAIVER.
SIGNATURE______ DATE______
Make check payable to:GBSL or Greater Boston Soccer League
Mail to: P.O. Box 211, S. Easton, MA 02375