Date: 2018-05-19
Time: 10:00:00
Field: MHS
Center Referee: ____________________
1st Assistant: ____________________
2nd Assistant: ____________________
DABLUES F.C
Captain: Mayele Henerdez
Score
 
 
Score
 
 
FC Dortmund
Captain: Remberto Castro 617-820-6086
#NameGoalsYCRCInjury
0Adams Kakeeto                                   
0Belmo Bizokunda                                   
0Blaise Musafiri                                   
0Damian Uhomoibhi                                   
0Demetri Andrew Dorceus                                   
0James Siyame                                    
0Jamie Wangia                                   
0Jean Nganji                                   
0John Aleston Balija                                   
0Karegeya Nasibu                                   
0Kasangaki Jjangu                                   
0Lawrence Serugo Katumba                                   
0Mayele Henerdez                                   
0Michael Branson                                   
0Praphoasnak Sen(Sarat)                                   
0Tamba Mbungu                                   
0Thuba N Mnyama                                   
0Yabesi Musema                                   
0Yusuf Djuma                                   
101Caio César Rocha                                   
101Lionel M Kasongi                                   
101Nakoh Yarrow                                   
101Njuba Steven                                   
101Quincy Appah                                   
101Senga Wabulakombe                                   
101Totti Azize                                   
                                                           
                                                           
                                                           
                                                           
                                                           
#NameGoalsYCRCInjury
0Alfonso Rosales                                   
1Kristoff Gonzalez                                   
2James Holland                                   
4Nilson Valenzuela                                   
5Walter Flores                                   
6Kleymar Garcia                                   
7Remberto Castro                                   
8Orlando Gutierrez                                   
9Marcus Pizzetti                                   
10Santiago Tula                                   
11Giovanni Escobar                                   
12Ricardo Zegarra                                   
13Julian Benavidez                                   
14Edgar Molina                                   
15Jarol Valencia                                   
16José Manuel                                   
17Cristian Garcia                                   
19Juan Ocampo                                   
20Lucho Perez                                   
21Jose Elias Pleitez                                   
22Merari Carpio                                   
27Luis Urbina                                   
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           

Please circle the player you award with Player of the Match
Players in bold MUST sign a waiver before playing!
NOTES AND COMMENTS:

 

 

Casa Soccer League of Boston Guest Player Waiver

In consideration of being allowed to participate in any way in Casa Soccer League of Boston, related events and activities, I the undersigned, acknowledge, appreciate, and agree that:

  1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.

  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.

  3. I willingly agree to comply with 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.

  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, and agree to INDEMNIFY AND HOLD HARMLESS the Casa Soccer League of Boston, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), from any and all claims, demands, losses, and liability arising out of or related to my participation in the Casa Soccer League of Boston, including without limitations any claims or losses arising from 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.

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 WITHOUT ANY INDUCEMENT.

Participant NameSignatureDate
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________