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    Lldlplayerregistrationformfinal Draft

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    api-200598193
    This document is a registration form for an amateur/premier athletic league. It requests biographical information such as name, ID number, address, phone number, email, birthdate, and sex. It includes a waiver releasing the league from liability for injuries sustained while participating. The participant must sign acknowledging the risks of injury. The form also collects information about the season league and team(s), whether the participant is a player, manager, or has been released from a team. It requests the team representative's information and includes spaces for signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Lldlplayerregistrationformfinal Draft

    Uploaded by

    api-200598193
    7 views1 page
    This document is a registration form for an amateur/premier athletic league. It requests biographical information such as name, ID number, address, phone number, email, birthdate, and sex. It includes a waiver releasing the league from liability for injuries sustained while participating. The participant must sign acknowledging the risks of injury. The form also collects information about the season league and team(s), whether the participant is a player, manager, or has been released from a team. It requests the team representative's information and includes spaces for signatures.

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    lldlplayerregistrationformfinal draft

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    © © All Rights Reserved

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    This document is a registration form for an amateur/premier athletic league. It requests biographical information such as name, ID number, address, phone number, email, birthdate, and sex. It includes a waiver releasing the league from liability for injuries sustained while participating. The participant must sign acknowledging the risks of injury. The form also collects information about the season league and team(s), whether the participant is a player, manager, or has been released from a team. It requests the team representative's information and includes spaces for signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    Lldlplayerregistrationformfinal Draft

    Uploaded by

    api-200598193
    This document is a registration form for an amateur/premier athletic league. It requests biographical information such as name, ID number, address, phone number, email, birthdate, and sex. It includes a waiver releasing the league from liability for injuries sustained while participating. The participant must sign acknowledging the risks of injury. The form also collects information about the season league and team(s), whether the participant is a player, manager, or has been released from a team. It requests the team representative's information and includes spaces for signatures.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    REGISTRATION FORM

    BIOGRAPHICAL INFORMATION
    FIRST NAME, MI
    ID NUMBER

    LAST NAME

    AREA CODE * PHONE NUMBER

    ADDRESS

    CITY

    EMAIL
    MO

    BIRTH
    DAY

    STATE

    ZIP

    SEX
    YR

    AMATEUR / PREMIER ATHLETIC WAIVER AND RELEASE OF LIABILITY - ADULT OR MINOR


    In consideration of being allowed to participate in any way in LLDL athletic/sports program and related events and activities, the undersigned:
    1. Agree that prior to participating, they each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise
    their coach or supervisor of such condition(s) and refuse to participate.
    2. Acknowledge and fully understand that each participant 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 their own actions, inaction 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;
    3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death.
    4. Release, waive, discharge and covenant not to sue LLDL/ GLASRA/ Hope Sports Complex, its affiliated clubs, their respective administrators, directors, agents, coaches, and other
    employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and leasers of premises used to conduct the
    event, all of which are hereinafter referred to as releases, from 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 releases or otherwise.

    PLAYER SIGNATURE:

    DATE:

    REGISTRATION - SEASON
    LEAGUE NAME
    TEAM INFORMATION

    TRANSACTION
    q AMATEUR
    q PREMIER

    PRIMARY

    T#

    PRIMARY TEAM NAME

    q AMATEUR
    q PREMIER

    MULTIPLE

    M#

    MULTIPLE TEAM NAME

    q MANAGER -Only if
    not player on Team
    q MULTIPLE

    q INDOOR
    X MEN

    q RELEASE

    RELEASE DATE:

    X OUTDOOR

    q WOMEN

    RELEASE TEAM NAME:


    MANAGER SIGN:

    TEAM REPRESENTATIVE
    TEAM REPRESENTATIVE:
    ADDRESS:
    PHONE:
    League Registrar Sigature and Date:

    REG2016

    L.L.D.L Administrator * www.LaLigaDeLansing * Phone 517-455-6903

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