GFG TEAM REGISTRATION FORM

GFG

GLENDALE FRIENDSHIP GAMES 2010
TEAM REGISTRATION FORM

3347 N. San Fernando Rd. Los Angeles, CA 90065
Tel. (323) 256-2564 Fax: (323) 256-0639
Web www.ararat.org E-mail info@ararat.org

• Download this form. The coach or a contact person must complete this form completely for each team. (only the contact person or the coach will receive information about GFG)

• Each player must be listed on the roster and must sign the waiver (parent or guardian if player is under 18)

• Make your check payable to “Homenetmen Ararat” and mail it with this completed form to:

GFG 2010 Committee
3347 N. San Fernando Rd., Los Angeles, CA 90065
Tel (323) 256-2564

• Deadline for submitting the registration form and the participation fee is October 12, 2010 (for Soccer is September 30, 2010).

TEAM INFORMATION

* - required fields (if a field does not apply, enter N/A)

Team Name: * or
School/Organization Name: *

Contact/Coach: * Phone/Cell: *

Address: * City: * State: * Zip: *

E-mail Address: *

Co-Captain/Assistant Coach: * Phone/Cell: *

E-mail Address: *

TEAM SPORTS

Sport	Male Female	Age Group	Fee Per Team
Soccer		Open Division Only	$500
Soccer		U-16	$300
Soccer		U-14 & U-12	$225
Soccer		U-10	$150
Soccer		U-8	$50
Basketball		All	$100
Volleyball		All	$100
			Total Fee: *

WAIVER

I understand that part of the risk involved in undertaking any recreational activity is relative to my own state of fitness or health (physical, mental, or emotional) and to the awareness, care, and skill with which I conduct myself in that sport. I acknowledge that my choice to participate in the GFG brings with it my assumption of those risks or results stemming from this choice and the fitness, health, awareness, care and skill that I possess and use.

I understand that GFG games will be conducted by volunteers who may not be licensed, registered or certified professionals. I accept the fact that in the event of a medical emergency these individuals may render some assistance but they are not licensed practitioners in the medical field. In the event the participant is a minor, it is strongly urged that a parent or a guardian be present during the games to make the appropriate decision in the event of an injury or medical emergency.

I understand that the dangers and risks from my participation in the GFG may include serious injury to virtually all internal organs and other aspects of the muscular/skeletal system, to other aspects of my body, general health and well being including death. I acknowledge that I am responsible for the injuries I may sustain, that I may cause to others, and damage I may cause to the facilities.

I also understand that I am responsible for my own medical expenses due to an injury sustained while participating in the GFG. The GFG does not provide any medical insurance coverage for participants.

OFFICIAL TEAM ROSTER

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Please Read
The above roster and registration form will not be accepted unless all requested information is completed and a payment is submitted.
This roster is an official document and is required for participation.

Name (Coach): * Date: