YOUTH SOCCER ROSTER

(This roster is not due with the registration form.  The roster must be complete and submitted prior to the first game.  Additional players can be added once the season begins, but a legal guardian must read the release and sign the roster prior to the player playing.) 

TEAM NAME: ___________________________  AGE GROUP: _____________  BOYS : GIRLS or Both

Division:  Gold or Silver

Parent/Guardian release: This is to certify that my son/daughter has permission to participate in any and all

soccer activities. I assume all risks and hazards incidental to such participation, and I do hereby agree

to hold harmless the staff of the All Star Sports Arena from any and all claims arising out of any injury to my child. Furthermore, this verifies that the player is up to date with his/her immunizations and is able to participate in all soccer activities. In the event of injury my permission is granted for treatment as required at the nearest medical treatment facility.

Please submit your roster prior to your first game.