Player Registration – Seattle Recreational Adult Team Soccer (RATS)

PLAYER INFORMATION
I am over 16 years old*
- Yes
- No
Players must be over 16 to play and register in the Seattle RATS league.
Player's Name*
First Last
Birthdate*
Address*
Street Address City State ZIP Code
Primary Phone*
Secondary Phone
Email*
Team information
How many RATS teams do you play on as a rostered player or sub?*
- I play on one team as a member or sub
- I play on two teams as a member or sub
- I play on more than two teams as a member or sub
- I sub on random teams based on availability
Team Name*
Please list one of the teams you primarily play on. If your team is not listed please write "Not Listed".
Second Team*
Please list another team you primarily play on. If the team is not listed please write "Not Listed"
List the names of additional teams or teams not listed above that you play on below:*
LIABILITY WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT

By registering I agree to the release of liability provided below:

In consideration of being allowed to participate in any way in the Recreational Adult Team Soccer program, its related events and activities, I acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Recreational Adult Team Soccer immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Recreational Adult Team Soccer their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Signature
Date

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

I [print name below] give my approval for the youth player named on this form to compete on an adult team.*
First Last
Registration Fee*
Your player registration is good for 1 year (365 days) from the date you register.
Price: $7.75
Total
$0.00

PLAYER INFORMATION

Players must be over 16 to play and register in the Seattle RATS league.

Team information

LIABILITY WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT