REGISTRATION FORMS

Medical Waiver and Release of Liability (This form must be signed by the all the players of the Above team before any player is eligible to participate) I, the above have signed and confirm the rest of the team has signed and hereby authorize any first aid, medication, medical treatment or surgery deemed necessary in case of an emergency for the above player during the play at any location we utilize during this charity event. I, the above signed, in consideration of the players participation at the We Play, We Score for a cure for…events, intending to be legally bound, do hereby ourselves, executors, and administrators waive, release, and forever discharge any and all rights and claims for damages, including any claims for loss, damages, death or injury to our persons or property arising out of the above player’s performance or failure of performance from the hosts of the above event or the owners of any location used and or the City of Brampton, Ontario their agents, representatives, successors and assigns.

As Coach/Team Representative, of the (Team Name) ________________________________________________

I certify that the information within is correct to the best of my knowledge. I understand that should a protest arise concerning the eligibility of any players participating on my team that it will be necessary that proper documentation (i.e. Birth Certificate, ) be made available verifying the player’s eligibility in the age group in which that player is participating. It is understood that should one of my players be found ineligible, that all games will be forfeited in which that player has participated and that the player will not be able to continue participating in the tournament.

Print Name: ___________________________Signature: ________________________________Date:_______________________________