registration form - So Cal Rush Soccer Club

SO CAL RUSH 3v3 SOCCER TOURNAMENT APPLICATION
TEAM INFO
TEAM NAME:
DIVISION:
COACH:
PHONE:
ADDRESS:
EMAIL:
ROSTER
FIRST NAME
LAST NAME
AGE
DATE OF BIRTH
Team registration is $60 per team (April pre-registration), or $75 per team (May registration). Your registration is
not complete until we receive payment for your registration. We want to post the schedules by Thursday evening.
Please fill out this form and email back to socalrushsoccer@gmail.com, then print this and send it with your check to:
Make checks payable to: So Cal Rush Soccer Club
On the check memo line, write “So Cal Rush 3v3”
Mailing Address: 15972 Tuscola Rd., Suite 103, Apple Valley, CA 92307
We agree to play by the rules set forth by the tournament committee. Ultimately we understand everyone is at this
tournament for fun and advance or not you are obliged to present your team in a sportsmanlike manner. I also agree
to be respectful of the officials.
WAIVER AGREEMENT: I hereby authorize the staff of the So Cal Rush 3v3 Soccer Tournament to act for me according to
their best judgment in any emergency requiring medical attention, and I hereby waive and release the So Cal Rush 3v3
Soccer Tournament, its director, and all staff from any liability for any injury or illness incurred while at the tournament.
I have no knowledge of any physical impairment that would affect the above-named individuals’ participation in the So
Cal Rush 3v3 tournament as outlined in the rules. I further understand that all event fees are non-refundable.
Signature
Date