Soccer Individual Registration

Player Full Name *

Email Address *

Phone Number *

Gender *

Date of Birth *

Format: mm/dd/yyyy

Team Name

Team name you are joining. If you are joining a team as a pair or small group, type the names of each individual to ensure proper team placement.

In a couple of sentences, please describe your level of experience with this sport. Be sure to include your usual position, years played, highest level of competition, and specialties.

Release and Waiver of Liability Agreement *

For and in consideration for my participation in the 8 COED SPORTS INC. 2012 aged by its national organization, 8 COED Sports Inc., dba 8 COED Sports and unconditionally and voluntarily release and waive any and all rights and claims that I may now, or in the future, have against the 8 COED Sports Inc., LEAGUE, and their respective subsidiaries, agents, employees, directors, officers, representatives, contractors, sponsors (including without limitation, Anheuser Busch, Inc.), affiliates, successors and assigns (collectively, the “Released Parties”) arising out of my participation in the LEAGUE and/or any related activities (such as activities staged and/or sanctioned by the LEAGUE) (collectively, the “Events”).

I hereby fully release and discharge the Released Parties from any and all claims for injuries, death, damage or loss which I may have or which may accrue to me from my participation in the LEAGUE and/or Events, even though that liability may arise out of the negligence, carelessness or other conduct on the part of the Released Parties. I further agree to indemnify and hold harmless and defend the Released parties from any and all claims, damages, liabilities and/or costs (including attorneys’ fees) arising out of, connected with or in any way associated with my participation in the LEAGUE or Events.

I acknowledge that the Released Parties are not responsible for any inclement weather which may affect the Events and release and waive all claims against the Released parties for damage, liabilities or loss that may arise therefrom. This document is intended to be as broad and inclusinve as permitted by law, and if any portion hereof is held invalid, it is agreed that the balance shall notwithstanding, continue in full legal force and effect.

I further acknowledge and agree that any photographs, videos, or other recordings taken of me during LEAGUE events, games, or at LEAGUE-related locations may be used by the Released Parties for promotional, advertising, or marketing purposes in any media, now or hereafter known, without further consent or compensation. I waive any rights to inspect or approve the use of such images or recordings and release the Released Parties from any claims arising from such use.

This document embodies the entire agreement with respect to these matters and supersedes any previous or contemporaneous negotiations or agreements. Each of the undersigned agrees that no promise or inducement has been offered except as herein set forth, and that this document has not been executed based upon statements or representations by any person or entity other that those set forth herein. I have been advised to contact an attorney prior to execution hereof. This document shall be governed by and construed under the laws of the state of FLORIDA without regard to conflicts of law principles therin.