TSC Soccer Roster Form

Tennessee Sports Complex

INDOOR SOCCER TEAM ROSTER/WAIVER

All of the undersigned have read the release of liability waiver, ON PAGE TWO, understand that they have given up substantial rights by signing it and acknowledge that they have signed voluntarily.

TEAM NAME (print)	LEAGUE (print) DATE

PLAYER	ADDRESS	PHONE	SIGNATURE	DATE
PLEASE PRINT
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Parent/guardian must sign waiver/roster if participant is under 18. Please make your checks payable to Tennessee Sports Complex.	If you have any questions or concerns, please contact TOM MILLS at 986-1234 or by email at office@tnsportscomplex.com
I verify that all players or parents/guardians have read and signed this waiver.

Coach's Signature Date	Assistant Coach / Parent Contact Phone #

THE INDOOR SOCCER TEAM WAIVER MUST BE TURNED IN WITH ROSTER!!!

In consideration of the PARTICIPANT'S being allowed to participate in any way in the Tennessee Sports Complex athletic/sports program and related events and activities, the undersigned:

1. Acknowledge, and Fully Understand that the participant will be engaging in activities that involve risk or serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inaction's or negligence, but the actions, inaction's 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 or not reasonably foreseeable at this time.

2. Assume all the foregoing risks, known and unknown, and accept personal responsibility for the damages following such injury, permanent disability or death.

3. Release, Waive, Discharge, Hold Harmless, Indemnify, and Covenant not To Sue Tennessee Sports Complex, it's 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 leases of premises used to conduct the event. All are hereinafter referred to as "Releases," from any liability to each of the undersigned, his or her heirs, executors, administrators, successors, assigns, and relatives for any and all claims, 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 release or otherwise. On behalf of the participant and individually, the undersigned parent(s) and or legal guardian(s) for the minor participant executes this Waiver and Release. If despite this release, the participant makes a claim against any of the "Releases," the parent(s) and/or legal guardian(s) will reimburse the "Releases" and their insuring company for any money which they have paid to the participant, or on his behalf, and hold them harmless.

4. Authorize, in the event that the participant sustains injury or illness while competing/participating in the Tennessee Sports Complex any emergency first aid, medication, medical treatment or surgery deemed necessary by licensed medical personnel, and give permission for attending medical personnel to execute on behalf of participant permission forms or other necessary medical documents and to act on his or her behalf if he or she is not immediately available to do so.

Each participant must sign on the following waiver/roster form following. Parent/guardian must sign waiver if participant is under 18.

PLEASE PRINT BOTH PAGES, FILL OUT AND
RETURN TO THE TENNESSEE SPORTS COMPLEX.