Women Thursdays at Starfire O60

Schedule

Name*

First NameLast Name

Email*

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Phone Number*

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Todays Date

Women O60 ScrimmagesTen games in the Fall 2025 Season

$60.00 Quantity

Drop In FeeDrop-In fee. Select the date

$10.00 Date

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Total

$0.00

Payment Methods

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Liability Release*

•	In consideration of being allowed to participate in any way in the program, related events, and activities, I, the undersigned acknowledge and agree that:&#13;&#10;&#13;&#10;1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.&#13;&#10;&#13;&#10;2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation.&#13;&#10;&#13;&#10;3. I willingly agree to comply with the terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.&#13;&#10;&#13;&#10;4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Stay Fit Soccer and Walk Soccer Club, its officers, officials, agents, and/or employees, other participants, sponsors, advertisers, and owners/lessors of premises used to conduct the event (RELEASES) from any/all claims, demands, losses, and liability arising&#13;&#10;out of or related to any INJURY, DISABILITY, OR DEATH I may suffer, 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.&#13;&#10;&#13;&#10;I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISKS AGREEMENT. I FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND I SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.&#13;&#10;&#13;&#10;

Stay Fit Soccer Emergency Care and Information *

I agree that in case If, at any time, due to such circumstances as an injury or sudden illness, medical treatment is necessary, I authorize the team managers to take whatever emergency measures they deem necessary and I understand that this may involve contacting an emergency services and transporting me to a hospital or doctor’s office, including the possible use of an ambulance. &#13;&#10;&#13;&#10;&#13;&#10;

Signature*

(Optional) Emergency Contact Name

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(Optional) Emergency Contact Phone Number

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Registration for Women Soccer Over 60 - THURSDAYS!

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