W.A.I.S.L. Player Registration Form – Wentworth Arenas Indoor Soccer

Winter 2019 WAISL Player Registration Form - ONLY NEW PLAYERS ARE REQUIRED TO REGISTER

Personal Information
Tuesday/Wednesday Womens Team Names:*
Please select the team you are participating with. Note: If you play on multiple teams, after selecting a team a 2nd option will become available to you.
Tuesday/Wednesday Womens Team Names:
Please select another team if you are playing more than once in this league.
Thursday Coed Team Names:*
Thursday Coed Team Names:
Sunday Men's Team Names:*
Sunday Men's Team Names:*
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Mobile Phone*
Home Phone
Business Phone
Email*
Date of Birth*
Gender*
Photo*
Accepted file types: jpg, gif, png.
Please upload a photo so we know who you are and are on the right team. A valid photo is required for every registration. A head shot (face only) wallet size type of photo is acceptable. (Please note: No hats, sunglasses or any distasteful or unclear photos, this will result in your registration being rejected)
CONSENT FOR USE OF PERSONAL INFORMATION
I authorize Wentworth Arenas Inc. to collect and use personal information about me for the purpose of receiving communications from the Wentworth Arenas Indoor Soccer League. I understand that I may withdraw such consent related to receiving communications at any time by contacting the WAISL privacy officer at chris@wentwortharenas.ca or by mail to: Attention: Chris Seward, WAISL, 1249 Wilson Street East, Ancaster ON . The Privacy Officer will advise the implications of such withdrawal. *We do not sell or distribute your personal information to any other third party not listed herein.*
Confirm Authorization*
- YES
- NO
By checking "YES" in this electronic form and submitting it, I hereby agree to give my consent to use my personal information as stated above.
ACCEPTANCE OF TERMS AND CONDITIONS
Waiver of Liability

I expressly acknowledged that sports and similar activities intrinsically involved risk of injury greater than those encountered in daily life, and by participating in a soccer game, acknowledge and assume the risk inherent therein .

WENTWORTH ARENAS INC. ACCEPT NO RESPONSIBILITY and shall not be liable for any injury , illness, death, damage, loss, accident, expense, delay or other irregularity from a players participation in any activity or use of any of the facilities at WENTWORTH ARENAS INC. Ancaster.

In consideration of being permitted to enter and use the facilities at WENTWORTH ARENAS I HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE WENTWORTH ARENAS INC., its officers, directors, employees, agents servants and/or assigns for any and all damages, and any claim or demand therefore on account of INJURY or result in DEATH of the undersigned, or damage to property whether caused by the NEGLIGENCE OF WENTWORTH ARENAS INC. or otherwise while the undersigned is in the facilities at WENTWORTH ARENAS.

Additionally, I HEREBY ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY, INJURY, DEATH OR PROPERTY DAMAGE however cause including the negligence of WENTWORTH ARENAS INC. or any of its directors, employees, agents servants and/or assigns while in the facilities of WENTWORTH ARENAS.

Photographic images of the undersigned may be used in advertising or as website material to help promote WENTWORTH ARENAS.

I HAVE READ AND VOLUNTARY SIGN THE RELEASE AND WAIVER OF LIABILITY.
I agree*
- Yes
By checking yes, I HAVE READ AND VOLUNTARY SIGN THE RELEASE AND WAIVER OF LIABILITY.
In consideration of the acceptance of my membership in the Wentworth Arenas Indoor Soccer League I the participant, agree as follows:
1. I understand that I cannot play in any soccer game until after this registration form has been validated.
2. I have reviewed the waiver attached and my signature affixed hereto indicates my agreement with such waiver.
3. I am aware of Wentworth Arenas Inc. and League bylaws, policies, rules and regulations and agree to abide by them and to be bound by them.
4. I accept sole responsibility for my personal possessions and athletic equipment.
5. I accept all liability for any damage to the playing equipment caused by me careless, negligent and/or improper handling.
By signing and dating below you agree that you are the player being registered and to be bound by this Legal Agreement even if you have not read this agreement.
Confirm Acceptance*
- YES
By checking "YES" in this electronic form and submitting it, I hereby agree to the terms and conditions as stated above.
Signature

Winter 2019 WAISL Player Registration Form - ONLY NEW PLAYERS ARE REQUIRED TO REGISTER

Personal Information

CONSENT FOR USE OF PERSONAL INFORMATION

ACCEPTANCE OF TERMS AND CONDITIONS

Waiver of Liability