THE 2016SRS SALAAM CUP – Waiver & Roster Form

I, the undersigned by my signature below, hereby acknowledge that I individually assume all risk of injury or loss occurring to either myself and/or individuals I bring as guests, arising from my participation in the 2016 SALAAM CUP Muslim Ball Hockey Tournament (the “Salaam Cup”) and that the organizers of the SALAAM CUP including, but not limited to, Carmen Corbassen & Malton arenas & City of Mississauga Parks and Recreationand any affiliated sponsors are free from any liability. Any individuals involved in the organization of the SALAAM CUP are not responsible for any personal injury, including theft, death, or loss/damage to personal property that might be incurred directly or indirectly, to either myself and/or individuals I bring as guests, as a result of my participation in this event.

Furthermore, I understand that I will be held responsible for both Carmen Corbassen & Maltonarenas & City of Mississauga Parks and Recreation,and/or the organizers of the SALAAM CUP for any theft, damage or loss of property caused by myself individually, or as a part of my team to any piece of equipment, trophies, or property associated with the SALAAM CUP tournament.

I also understand and approve the usage of my image and/or likeness by the organizers of the SALAAM CUP in any marketing initiatives related to future ball hockey tournaments or leagues. This includes participating in any photography or video being conducted at the event. If any issues with this particular stipulation, the individual team representatives will be responsible in communicating this with the Directors.

Finally, I agree fully to abide by all the rules both stipulated and implied by the organizers of the SALAAM CUP and the facility managers with respect to my conduct at the tournament and while on any part of the property owned by both Carmen Corbassen & Malton arenas & City of Mississauga Parks and Recreation. If my conduct is contrary to the intent of the stipulated and implied rules, upon notification by the organizers, I fully agree to abide by their ruled consequences with respect to my further participation in the SALAAM CUP. By signing below, I acknowledge and represent that I have read and understood the rules and this waiver form. (Parent/Guardian to send a written notice of approval if the participant is under 17 years old or under).

Please turn to the 2nd page for input of player names and information. Thank you for your cooperation and have yourself a great and SAFE tournament!

Print name of Team GM/Manager Signature

Please complete this roster form. Waiver forms on 1st page will need to be handed in at the tournament before 1st game. Please email this form to ANDby JULY 15th 11:59pm. Changes can be made at $10 per change thereafter until AUG 1st11:59pm ONLY, but t-shirt will not be guaranteed. This roster will be kept in STRICT CONFIDENTIALITY by the members of the Salaam Cup and will NOT be released until 1 week prior to the tournament.

Team Name:
Pool A or B:

Team Manager & Main Point of Contact:

All fields are MANDATORY. Please be accurate as possible.

Player First Name / Player Last Name / Signature / Contact Ph# / Contact Email / Shirt Size
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TSHIRT SIZES AVAILABLE: Adult - S, M, L, XL, XXL