Summer Days Form
  • ACKNOWLEDGMENT OF RISK AND CONSENT TO PARTICIPATE AND RELEASE FORM

  • I am aware that the very nature of participation in recreational sports activity carries with it an inherent risk of injury. I understand that the dan- gers & risks of participating in these activities, whether in competition or preparing to compete, include, but are not limited to, death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the muscular skeletal system, and serious injury or impairment to other aspects of my body and general health and well being.

    Having understood the risks of participation and particularly the risk inherent in sport, voluntarily assume and accept these risks as they have been explained above. I realize that the coaches, administrators, trainers. referees, and GLORY DAYS 4 ON LLC personnel will do those things necessary to reduce the risk of injury. However, realize and accept that these measures will not prevent all injuries to myself, to other participants and/or to spectators. I also accept the responsibility in taking personal measures to help prevent injury to myself, to other partici- pants and/or to spectators by notifying coaches, trainers, referees, or other GLORY DAYS 4 ON LLC personnel of conditions that am aware of that may predispose me or other participants to an increased risk of injury resulting from participation.

    For and in consideration of benefits to be derived from furtherance of programs produced by GLORY DAYS 4 ON 4, LLC I, the undersigned adult, parent or legal guardian do hereby consent, authorize and grant permission to GLORY DAYS 4 ON 4, LLC, its agents, employees or duly authorized representatives to take the information provided on forms, photographs, motion pictures or video taken of said athletes and guests of athletes, and do further consent to the marketing, publication, circulation and dissemination of said information, photographs, motion pictures or videos or any duplication or facsimile thereof for any purposes GLORY DAYS 4 ON 4, LLC may deem proper. At no time will my filled out information be sold to another company.

    In granting such permission, hereby relinquish and give to GLORY DAYS 4 ON 4, LLC. all right, title and interest I may have in the finished pictures, negatives, reproductions or copies and further waive any and all right to approve the use of such, photographs, motion picturesor videos and further do waive any right to compensation for the publication or other use of said, photographs, motion pictures or videos and do release GLORY DAYS4 ON4, LLC, its agents, licensees, representatives and assigns from any and all claims of any nature whatsoever arising from their use.

    I have read the above statement and understand that participating in recreational sporting activity has inherent risks of possible bodily damage or injury as explained above.

  • Team Entry $325.00

    **IF YOU NEED MORE TIME TO COLLECT INFORMATION CLICK THE 'SAVE' BUTTON AND THEN CLICK "SKIP CREATE AN ACCOUNT' TO ENTER YOUR EMAIL TO SAVE YOUR PROGRESS**

  • Captain Information

  • Format: (000) 000-0000.
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  • Player Information

  • **WAIVER MUST BE SIGNED FOR EVERY PARTICIPANT AT THE EVENT REGISTRATION TO BE ELIGIBLE TO PLAY**

    If the participant is a minor, the following must be completed by the parent/guardian.
    As the parent/guardian of the above mentioned participant understand the above statements and give consent for the named participant to engage in sport related participation with GLORY DAYS 4 ON 4. LLC.

    **Waiver must be signed by the Legal Guardian for Minors**

  • Format: (000) 000-0000.
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  • Format: (000) 000-0000.
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  • Format: (000) 000-0000.
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  • Format: (000) 000-0000.
  •  / /
  • Format: (000) 000-0000.
  •  / /
  • Format: (000) 000-0000.
  •  / /
  • Format: (000) 000-0000.
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