Individual Player Registration

I understand that in addition to the training sessions, workshop, clinics, tournament, games, league or any other event fees, each player must register and pay YEARLY insurance fee. The $25.00 per player fee and player releases are completed and paid online by the player/parent/guardian (P/P/G).

CRITICAL NOTICE- Double-check the name of the player and the date of birth (DOB) above to confirm they are input correctly or registration will not be valid.  Also, if the player has already registered and paid insurance player registration fee in the current period to avoid having to pay again, you must enter the player information exactly as it was input the first time the player was input and paid for the current year.  Changing the player name or DOB from the previous registration will cause the system to recognize the player as a new player and will charge the fee again.

I, the parent/guardian of the above named Registrant, in consideration of accepting the Registrant for their Futsal programs and activities (collectively the “Programs”) and recognizing the risk of potentially significant physical injury occurring by participation in the Programs, including permanent disability or death, for myself and Registrant, do knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for the Registrants participation in the Programs. Further, I, for myself and Registrant, and on behalf of our respective heirs, assigns, personal representatives and next of kin, do hereby release, indemnify and hold harmless the NJ FUTSAL CLUB LLC, its affiliated organizations and sponsors, and each of their employees, volunteers, agents, other participants, hosts, sponsors, advertisers, and the owners of the premises upon which the Programs are held (collectively, the "Releases"), with respect to any and all injury, disability, death, or loss or damage to person or property incident to Registrants participation in the Programs. I hereby warrant and represent that the Registrant has received a physical examination by a physician and has been found physically capable of participating in the Programs with no reservations or restrictions. I, for myself and Registrant, do hereby consent to have a doctor of medicine or dentistry, a licensed nurse or emergency technician provide Registrant with medical assistance and/or treatment and agree to be financially responsible for the cost of such assistance and/or treatment.

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 SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY.