www.UrbanSoccer.com Team Registration 2015-2016 Team Name: Team Coordinator: Team coordinator is responsible for the full team registration payment Play It Here! Office Use Only Signature: Address: Email: # of T-Shirt: _________ Shirt Color: _________ Amount Paid: ________ Check #: ____________ Date:_______________ Signature: ___________ Phone: Emergency Contact: Emergency Contact: Men: Mon/Tues ____ Tue -Thurs ____ Wed/Thurs ____ Coed: Mon/Wed ____ Tue -Thurs ____ Sat/Sun ____ Location: Indoor ___ Outdoor ____ Comments: Fri ___ Sat___ Sun ___ Thanks for your interest in Urban Soccer League, taking place in Downtown Manhattan. Attached you’ll find a brief overview of league format, instructions on how to enter your team, and the Release and Waiver of Liability, which must be submitted with your application. Some of the details may change but this should give you an idea of how things should work. Urban Soccer League Highlights: Fast, Fun, Furious Weeknights & Sunday leagues State-of-the-art field turf that plays like grass! Season runs 9-10 weeks Teams plays once a week 45 minute games, two/22min. halves Unlimited substitutions No offside Men, Coed, Women Intermediate & Competitive Divisions Cost: $1700 All participating teams receive official USL shirt Payment Method: Visa__ MasterCard __ Credit Card Number_____________________ Exp. _____ CCV_____________ I authorize Urban Soccer League to bill the above credit card for the amount due for the selected sessions. SIGNATURE: _________________________________________________________ DATE: _________ *Any returned checks will be subject to a $15 service charge plus any bank charges. REGISTRATION REQUIREMENTS: Team Coordinator is responsible for completing page 1&2 and collecting page 3 from each participant. Please mail the entry registration package along with payment and picture ID copy (Drivers License), payment (credit card, check or money order payable to USL, LLC.). Mail Form to: Urban Soccer League, A/R Dept., 139 Centre Street PH#138, New York, NY 10013 URBAN SOCCER LEAGUE 2015-2016 Team: ______________________________ Name Signature Address Email 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) Participant Release and Waiver of Liability: Each team member and/or participant (hereafter referred to as "Participant") listed on the above roster or added to the roster at a later date, intending to be legally bound, hereby certifies that he/she is physically fit and in normal health and has not been otherwise informed by a physician that he/she is incapable of participation in any sport Leagues/clinics/tournaments, including those organized by Urban Soccer League (hereafter referred to as "USL LLC") Each participant agrees to abide by all USL LLC rules. Each participant acknowledges that he/she is aware of the risks inherent in participation in sports [both practice and competition]; that sports are physical and can require considerable running, starting, stopping and physical exertion, in heat and humidity, and could potentially lead to injuries including, but not limited to, overheating dehydration, limb injuries and possible permanent disability and death. USL LLC does not carry player medical insurance, nor provide event security, each participant agrees to assume all those risks, including, but not limited to, property damage and serious bodily injury arising from fair or foul play (including death), and to waive any and all rights to claim for injuries, loss or damages arising out of his/her participation in USL LLC. The Undersigned hereby release(s) and discharge(s) the League Organizers, including USL LLC, and their respective assignees, successors, officers, directors, agents, representatives, employees, subcontractors, sponsors, partners, members and affiliates from all present and future liabilities, debts, obligations, costs, expenses, damages, losses, charges, judgments, executions, liens, claims, demands, actions or causes of action of whatever nature or description, in equity or at law, which the Undersigned may have, whether known or unknown, suspected or unsuspected, asserted or not asserted, arising out of participation by the Undersigned in USL LLC. Each participant is responsible for conducting him/herself safely and at a level consistent with his/her skill. Each participant must further certify that he/she maintains adequate health insurance to cover any injuries occurring as a result of participation in order to register in USL LLC. The Undersigned understands, acknowledges, and accepts that this Participants Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of New York and agrees that if any portion of this Release and Waiver of Liability is invalid, the remainder will continue in full legal force and effect. The Undersigned further agrees that any legal proceedings related to this Release and Waiver of Liability shall take place in the City of New York. Captain Signature _____________________________________________________________ Date __________________ PLAYER REGISTRATION www.UrbanSoccer.com Team Name: Team Coordinator: Player Name: Address: Play It Here! City: Zip Code: Email: Phone: Gender: Have you previously participated in USL? Comments: Participant Release and Waiver of Liability: Each team member and/or participant (hereafter referred to as "Participant") listed on the above roster or added to the roster at a later date, intending to be legally bound, hereby certifies that he/she is physically fit and in normal health and has not been otherwise informed by a physician that he/she is incapable of participation in any sport Leagues/clinics/tournaments, including those organized by Urban Soccer League (hereafter referred to as "USL LLC") Each participant agrees to abide by all USL LLC rules. Each participant acknowledges that he/she is aware of the risks inherent in participation in sports [both practice and competition]; that sports are physical and can require considerable running, starting, stopping and physical exertion, in heat and humidity, and could potentially lead to injuries including, but not limited to, overheating dehydration, limb injuries and possible permanent disability and death. USL LLC does not carry player medical insurance, nor provide event security, each participant agrees to assume all those risks, including, but not limited to, property damage and serious bodily injury arising from fair or foul play (including death), and to waive any and all rights to claim for injuries, loss or damages arising out of his/her participation in USL LLC. The Undersigned hereby release(s) and discharge(s) the League Organizers, including USL LLC, and their respective assignees, successors, officers, directors, agents, representatives, employees, subcontractors, sponsors, partners, members and affiliates from all present and future liabilities, debts, obligations, costs, expenses, damages, losses, charges, judgments, executions, liens, claims, demands, actions or causes of action of whatever nature or description, in equity or at law, which the Undersigned may have, whether known or unknown, suspected or unsuspected, asserted or not asserted, arising out of participation by the Undersigned in USL LLC. Each participant is responsible for conducting him/herself safely and at a level consistent with his/her skill. Each participant must further certifies that he/she maintains adequate health insurance to cover any injuries occurring as a result of participation in order to register in USL LLC. The Undersigned understands, acknowledges, and accepts that this Participants Release and Waiver of Liability is intended to be as broad and inclusive as permitted by the laws of the State of New York and agrees that if any portion of this Release and Waiver of Liability is invalid, the remainder will continue in full legal force and effect. The Undersigned further agrees that any legal proceedings related to this Release and Waiver of Liability shall take place in the City of New York. Participant Signature _______________________________________________________________ Date _______________ REGISTRATION REQUIREMENTS: Complete form, Sign Release and Waiver of Liability, Provide copy of driver license or valid ID and payment. Mail Form to: Urban Soccer League Accounts Receivable Dept 139 Centre St. PH #138 New York, NY 10013