NEW YORK FUTSAL & LONG ISLAND FUTSAL

FUTSAL FEST (Dec. 4th - U10,U11,U12) Dec. 11th - U13,U14,15)

Option:  

Required  Price: 
Description: 
 = Required Field

 Location/Venue: Massapequa Field House 5600 Old Sunrise Hwy. Massapequa , NY 11758

 TEAM NAME 
 CLUB NAME 
 
 Division  
 
 
 
 Primary Team Colors 
/

 Secondary Team Colors 
/

 LEAGUE RECORD
Name W L T
Age Div Result

 Comments 


 Approvals

I, the Coach or Team Manager of the above as 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, but not limited to, contraction of COVID-19 and other viruses); emotional distress; property damage; permanent disability; paralysis; or death (collectively, “Risks”). 

THIS TOURNAMENT IS SANCTIONED BY ENYYSA AND LIJSL,  SO PLAYERS ARE COVERED BY THEIR INSURANCE FOR THE TOURNAMENT.   DO NOT PAY THE PLAYER REGISTRATION FEE, UNLESS THE PLAYER IS NOT A REGISTERED PLAYER WITH ENYYSA/LIJSL.

Assumption of Risk. Applicant acknowledges that the proposed use of school facilities may expose Applicant and its owners, members, officers, employees, coaches, and/or agents to certain risks including the potential risk of transmission of COVID-19, which is extremely contagious and spreads easily through person-to-person contact. Applicant acknowledges that operating or participating in the proposed use of school facilities could increase the exposure and risk of contracting COVID-19 and that such exposure or infection may result in personal injury, illness, permanent disability and death to Applicant's owners, members, officers, employees, coaches, and agents, and to others. Applicant is voluntarily operating and participating in the proposed use of school facilities with knowledge of the risks, hazards, and other dangers involved.

I understand that the Risks may be caused or contributed to by my own actions or inactions, the actions or inactions of other participants, bystanders or Long Island Futsal staff, the conditions and settings in which the Activities take place, or the alleged or actual negligence of the Releasees. I understand that the description and list of Risks in this Agreement is not complete, and that I may encounter risks not specified herein, known or unknown, in connection with the Activities. WITH A FULL UNDERSTANDING AND APPRECIATION OF THE FOREGOING, I VOLUNTARILY AGREE TO ASSUME THE FOREGOING RISKS AND ALL RESPONSIBILITY FOR ANY LOSSES, COSTS, AND DAMAGES I INCUR AS A RESULT OF, OR IN CONNECTION WITH, THE ACTIVITIES. 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 NEW YORK FUTSAL AND LONG ISLAND FUTSAL LEAGUE , 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, and/or being transported to or from the same, which transportation I hereby authorize, and whether arising from the negligence of the Releases or otherwise, to the fullest extent permitted by law. 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
 Approval Signature 

 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

After the registration deadline of November 27, 2021 no refunds will be given, unless tournament does not a suitable division for the team, then a full refund will be given. 

Full refund if tournament is cancelled due to COVID or other determinations.

 Contact Info