Adult 11v11 Soccer League

You are registering for our 8 week Co-Ed 11v11 Adult Soccer League starting Feb 7th 2021 at the West Orange Soccer Complex in Winter Garden. Games will commence at either 9am or 11am. Individual registration fee $75 if registered before Jan 15th. Registrations after Jan 15th incur a $15 late registration fee. Minimum of 15 players per team.

* Required information

Registration Form

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
Phone:
Enter Team name, Team Captain's name or say free agent.
*
I accept that physical or verbal abuse towards staff or players or violation of Company's rules will result in expulsion from the league without refund. I consent to photography and video for marketing purposes and accept that inclement weather might disrupt or lead to cancellation of events. I further accept that Striker Soccer has the right to refuse the registration of a player due to previous unbecoming conduct or the violation of the Company's rules in previous leagues.
- By checking this box I understand and accept the above terms & conditions.

Fee

Type	Fee
Event fee	$90.00

Emergency Contact Details:

Please provide an Emergency Contact number with name.

WAIVER, RELEASE OF LIABILITY & ASSUMPTION OF RISK

RELEASE OF LIABILITY AND ASSUMPTION OF RISK. I CERTIFY THAT I AM OVER 18 YEARS OF AGE AND PHYSCIALLY FIT TO ENGAGE IN SOCCER ACTIVITIES WITH NO OTHER MEDICAL CONDITION PREVENTING PARTICIPATION. I AGREE NOT TO PARTICIPATE IF I BELIEVE I AM SICK OR HAVE A TEMPERATURE ABOVE 100.4*F. I ACCEPT THAT PARTICIPATING IN THE SPORT OF SOCCER COMES WITH INHERENT RISKS OF PHYSICAL INJURY INCLUDING PERMANENT DISABILITY, PARALYSIS & DEATH. I AGREE THAT I PARTICIPATE OR SPECTATE ENTIRELY AT MY OWN RISK AND AGREE THAT IF AT ANY TIME, I BELIEVE CONDITIONS TO BE UNSAFE, THAT I WILL DISCONTINUE PARTICIPATION IMMEDIATELY. I HEREBY RELEASE AND FOREVER DISCHARGE STRIKER SOCCER ENTERPRISES LLC, IT'S STAFF AND FIELD OWNERS FOR ANY LIABILITY AND FOR ANY AND ALL PROPERTY DAMAGE AND PHYSICAL INJURY, AND WAIVE ANY AND ALL RIGHTS, CLAIMS OR CAUSES OF ACTION INCLUDING MEDICAL CLAIMS ARISING OUT OF MY PARTICIPATION IN THIS COMPANY'S ACTIVITIES.
COVID-19: AN INHERENT RISK OF EXPOSURE TO COVID-19 CURRENTLY EXISTS IN ANY PUBLIC PLACE WHERE PEOPLE ARE PRESENT. COVID-19 IS AN EXTEMELY CONTAGIOUS DISEASE THAT CAN LEAD TO SEVERE ILLNESS AND DEATH. BY PARTICIPATING IN THIS COMPANY'S ACTIVITIES, YOU VOLUNTARILY ASSUME ALL RISKS TO YOURSELF RELATED TO THE EXPOSURE OF COVID-19.
*
I CERTIFY THAT I HAVE FULLY READ THIS WAIVER, ASSUMPTION OF RISK AND RELEASE OF LIABILITY, INCLUDING THE SECTION PERTAINING TO THE RISK OF COVID-19, FULLY UNDERSTAND IT'S TERMS AND SIGNED FREELY.I AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS TO BE HELD INVALID,THE BALANCE SHALL CONTINUE IN FULL FORCE AND EFFECT. THIS WAIVER, ASSUMPTION OF RISK AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION AND FOR ANY SUBSEQUENT PARTICIPATION IN THIS COMPANY'S ACTIVITIES.
- BY CHECKING THIS BOX, I UNDERSTAND, AGREE AND ACCEPT THE ABOVE WAIVER AND RELEASE OF LIABILITY.

SIGNATURE: TYPE YOUR FULL NAME BELOW

* BY TYPING YOUR FULL NAME BELOW, YOU UNDERSTAND, AGREE AND ACCEPT THE ABOVE WAIVER, ASSUMPTION OF RISK AND RELEASE OF LIABILITY AND AGREE AND CONSENT FOR YOUR TYPED NAME TO ACT AS AN ELECTRONIC SIGNATURE FOR THIS AGREEMENT.

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