BUDDIES SOCCER REGISTRATION First & Last Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Birthdate * MM DD YYYY Age * Waiver - Medical Release * BY SUBMITTING THIS REGISTRATION: I/We the parents/guardians of the above named player, hereby give permission for participation in any and all TOPSports activities, including but not exclusive to transportation to and from these activities. I/We realize that participation in these activities may result in serious injuries and hereby waive, release, absolve, indemnify and agree to hold harmless the Harrison Township , TOPSports, Buddies, the organizers, sponsors, supervisors, participants and persons transporting my/our child to and from activities for any claims arising out of any injury to my/our child whether the result of negligence or for any other cause, except to the extent and in the amount covered by accident and liability insurance. I/We give permission to the TOPSports to have emergency medical attention administered to the above named player and release the TOPSports from any liability, which may result from the administration of such medical attention. I agree I disagree List Physical conditions of which the staff should be aware * Buddy Experience * New Buddy Experienced Buddy Experienced Buddies only: Athletes you have successfully worked with in the past include: Grade * 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade College Out of School Session Preference * Second 9:15 - 10:30 Waiver Question: Need Verification of Service Hours? * I understand that if I require verification of community service hours from TOPSports, I SHOULD track my own hours and provide documentation for Coach Michele to sign at the end of the season OR I will request and receive a verification from Coach Michele at the end of THIS season only. I agree I disagree Waiver Question: Commitment to TOPSports * I have checked my calendar for September - October 2024 and am able to commit to attending at least five (5) of the eight (8) sessions scheduled between 9/7/24 and 10/26/24. I agree I disagree Waiver Question: Mandatory Training for Buddies/Coaches NEW to TOPSports * If you have not previously volunteered for TOPSports, you are required to attend training which is scheduled for Thursday, September 5, 2024 from 6:00-7:30PM at William Wilt Soccer Complex. I agree I disagree Waiver Question Photo Release * I understand that by joining this league, I give permission for my child's photo or likeness to be used by the league and TOPSports. I agree I disagree Thank you!
