PWSC Agreement & Consent

Agreement & Consent

  • I, the undersigned, agree to the following:
  • That I am 19 years of age, or older on or before December 31, 2017.
  • To abide by the rules and regulations of the P.W.S.C.
  • To pay the sum of:  $115 or $130 by April 24, 2017
  • To return the uniform to the P.W.S.C., or forfeit $30 post dated cheque (dated September 1st, 2017, submitted at the time of receiving jersey from Team Rep.)
  • To play a minimum of 10 games for the P.W.S.C. 2017 season
  • That if I miss 2 consecutive games without notification to my team, then I may be removed from the team/league without refund of the registration fee
  • Not to hold the P.W.S.C., and/or its Board of Directors liable for any injuries incurred while participating in P.W.S.C. activities/games
  • To take the responsibility of notifying the league if I find myself pregnant, or if I find I have a serious injury. At which time my League Insurance will be cancelled. (All players must play with League Insurance)
  • To pay my own disciplinary fines. I will not return to play until fine is paid to my Team Rep.
  • That as a registrant of the P.W.S.C, E.C.O.S.A. and O.S.A., I may be eligible to receive information from time to time about related soccer events, programs and services

               ___ I prefer to be excluded.

 

 

Name (print):________________________________________________________________________

 

Signature:___________________________________________________________________________

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