Team Registration

Madison Futsal League - Summer 2024

Option:  

Required  Price: $535.00
Description: Madison Futsal - Summer 2024 League - Center of Excellence
 = Required Field

 Team Information

 TEAM NAME 
 CLUB NAME 
 
 
 
 
 Primary Team Colors 
/

 Secondary Team Colors 
/

 LEAGUE RECORD
Name W L T
Age Div Result

 TOURNAMENT 1
Name W L T
Age Div Result

 TOURNAMENT 2
Name W L T
Age Div Result

 TOURNAMENT 3
Name W L T
Age Div Result

 STATE CUP
Name W L T
Age Div Result

 Comments 


 CONFLICT INFORMATION

Conflict Dates &/or Comments
-OR-
 You may choose 2 dates as conflict dates.
 Conflict 1 (MM/DD/YYYY):
 Conflict 2 (MM/DD/YYYY):
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  Conflict Comments: 
 
 If you coach multiple teams fill out the section below for each team:

 Approvals

I understand that in addition to the league fees, each player must register with Madison Futsal.  The $9.95 per player insurance fee and player releases are completed and paid online by the player/parent/guardian (P/P/G).  Players will not be eligible to participate unless payment is received and released authorized.  Outdoor player registrations issued from US Club, AYSO, USYSA, State Associations. etc. are not valid for registration with Madison Futsal.

Once the event begins, there are no refunds of the Madison Futsal Player Registration insurance fee.

Player registration forms will be automatically sent to the P/P/G when the manager enters players into the rosters.

6/3/2017

FOR RETURNING TEAM MANAGERS - If you previously registered a team with HTGSports (this year or any previous years) and would like to have access to the same players you previously had on a roster, you must use the same email address for the team manager that was used when the old roster was created. (players follow the manager’s email). The email is entered in the Manager Information box below.

In that situation, your User ID and password is the same as last time you accessed the system.

 


CRITICAL NOTICE- When inputting players into your team rosters, double-check the name of the player and the date of birth (DOB) to confirm they are input correctly or the Madison Futsal registration will not be valid.  Also, if you have players on your roster who already registered in the current year (8/1/2021 – 7/31/2022) and paid the Madison Futsal player registration/insurance fee, to avoid the player from having to pay again, you must enter the player information above exactly as it was input the first time the player was registered for the current year.  Changing the player name or DOB from the previous current registration will cause the system to recognize the player as a new player and will charge the fee again.

6/3/2017

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, WAIVER OF LIKENESS AND INDEMNITY AGREEMENT

IN CONSIDERATION of access to and use of the futsal facilities, programs, and facilities located at Verona Athletic Center (411 Prairie Heights Drive, Verona, WI 53593); Madison East High School (2222 E Washington Ave, Madison, WI 53704); 155 Braun Rd, Oregon, WI 53575; 4402 Femrite Drive, Madison, WI 53716; 110 N Gammon Road, Madison, WI 53717 ("Facilities") offered through Madison Futsal LTD. (“Host”), EACH OF THE UNDERSIGNED, for himself/herself/themself, his, her, or their personal representatives, heirs, and next of kin:

1. HEREBY WARRANTS AND REPRESENTS that: (i) he, she, or they understands that the particular activities which he, she, or they may undertake at the Facilities may involve vigorous physical exercise and competition, including by way of example running, sports activities, repeated constant physical contact with others and balls, hard floor surfaces and goal nets and other equipment, and prolongued peak physical activity, as well as use of recreational equipment or other devices located at the Facilities (collectively, the “Activities”); (ii) he, she, or they understands that there are significant risks associated with participation in the Activities, including by way of example the possibility of serious injury or death caused by falling, exertion, physical activity, collisions, accident, or injury related to use of equipment or devices; (iii) he, she, or they understands that emergency care may not be immediately available in the event of an injury or health event during the Activities; and (iv) he, she, or they is in sufficient physical condition and is physically able to undertake all Activities, and has no disability, impairment or ailment preventing him, her, or them from active or passive exercise, or that will be detrimental to his, her, or their health, safety, comfort or condition if he, she, or they does so engage or participate.

2. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the Host and (as applicable) its/their owners, directors, officers, members, agents and employees, Facilities owners, or Activities sponsors or any of their respective owners, directors, officers, members, agents, and employees, all for the purposes herein collectively referred to as “Releasees,” FROM ALL LIABILITY, TO THE UNDERSIGNED, his, her, or their personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE ACTIVITIES OCCURRING WHILE AT THE FACILITIES, OR FACILITIES, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE (BUT NOT INCLUDING INTENTIONAL OR RECKLESS ACTS OF THE RELEASEES). 

3. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST he, she, or they may incur arising out of or related to THE ACTIVITIES OR FACILITIES WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE (BUT NOT INCLUDING INTENTIONAL OR RECKLESS ACTS OF THE RELEASEES).  

4. HEREBY ACCEPTS THE RISK AND ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to THE ACTIVITIES OR FACILITIES whether caused by the NEGLIGENCE OF RELEASEES or otherwise (BUT NOT INCLUDING INTENTIONAL OR RECKLESS ACTS OF THE RELEASEES), and furthermore acknowledges, pursuant to the recreational activities statute, Wis. Stat. § 895.525, that he, she, or they has a responsibility to act within the limits of his, her, or their ability, to heed all warnings regarding participation in the recreational activity, to maintain control of his, her, or their person and any applicable equipment or devices, and to refrain from acting in any manner that may cause or contribute to death or injury for himself or herself or to other persons.

5. HEREBY acknowledges that prior to signing this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, he, she, or they had the opportunity to contact a representative of the Host to discuss and/or bargain regarding any of the terms set forth herein.

 

6. HEREBY irrevocably grants to Host the right and permission, free from approval, review, compensation, or cost, to photograph, video and audio record him, her, or them while in the Facilities or participating in the Activities, and otherwise capture and use his, her, or their likeness including but not limited to public posting on the Internet or other media for promotional or any other purposes and that Host shall have all right, title, and interest in such material including all copyright and other intellectual property rights in the materials.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

If the above signatory is a minor: I HEREBY AGREE TO THE ENTIRETY OF THE FOREGOING IN MY INDIVIDUAL CAPACITY AS WELL AS PARENT OR GUARDIAN OF THE ABOVE SIGNATORY.

I, the parent/guardian of the above named Registrant, in consideration for accepting the Registrant for their Futsal programs and activities (collectively the “Programs”) hereby grants to Madison Futsal and its member clubs and organizations, the right and permission, free from approval, review or cost, to photograph, record or otherwise capture the Registrants likeness in participating in the Programs for use in media, now or hereafter known, including, but not limited to pictures and video, to copyright the same in its own name, and which may be included in whole or in part for commercial or promotional use.

 

10/21


 CONTACT INFORMATION

Note: If you have previously registered a team with HTGSports and would like to have access to the same players you had on your roster previously you must use the same email address for the team manager that you have used before.
 COACH
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 
TEAM MANAGER  
 STATE 
 ZIPCODE 
 1 of the 3 phone numbers below must be filled in
 HOME 
 WORK 
 CELL 
 PREFERENCE 

 Refund Policy

Thank you for registering for the Madison Futsal League.  You may cancel your registration 14 days before the registration deadline and receive a refund of your fees minus a $50 administrative fee.  After the registration deadline, no refunds.

Thank you,

Madison Futsal 



 Contact Info