Date: _________________
Time: _________________
Field: _________________
Center Referee: ____________________
1st Assistant: ____________________
2nd Assistant: ____________________
Home Team
Captain: _______________
Score
 
 
Score
 
 
Visitors
Captain: _______________
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#NameGoalsYCRCInjury
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           
                                                           

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
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