YOUTH INDOOR SOCCER LEAGUE

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YOUTH INDOOR SOCCER LEAGUE Chehalis Parks & Recreation 2017 Fall Recreation Program 748-0271 or www.ci.chehalis.wa.us YOUTH INDOOR SOCCER LEAGUE Enjoy watching your children play soccer in the warmth of a gym at Olympic Elementary. In this FUN & FAST PACED league there is no out-of-bounds. Sign up before Fri., Oct. 20th . Schedules & team placement will be sent to your e-mail on Fri., Oct. 27th. Ages Kindergarten & 1st grade league 2nd & 3rd grade league League November – December ~ Games will be played on ONE night during the week (Mon.-Thurs.) Cost $35 ~ jersey included COACHES NEEDED Volunteer coaches are needed for details please call 748-0271 Lilly Wall or Tracey Cox Number of teams will depend on how many volunteers we get to coach. Coach : Phone: --Registration and payment should be brought or mailed to— Chehalis Parks & Recreation 1321 S Market Blvd. Chehalis, WA 98532 Jersey size: Youth S  M  L  Adult S  M  Participants Name Grade Girl/Boy Address Home Phone Daytime Phone E-mail Please print clearly ~ team placement and schedules will go to your e-mail Friday, Oct. 27th. 77 PLU Indoor Soccer League: Date Paid _____ Amount _____ Ck # _____ Cash _____ Receipt # _____ I am fully aware of the special dangers and risk inherent in the activity, including physical injury, death, or other consequences that may arise or result directly or indirectly from the activity. In the event of a serious injury and we are unable to contact a parent or guardian the supervisory staff will seek emergency medical assistance. Being fully informed as to these risks and in consideration of the privilege of participating in the above-described activity, I hereby assume all risk of injury, damage and liability and waive any right of recovery from or to bring suit against the City of Chehalis, Chehalis School District, instructors, and volunteers for any personal injury, death, or other consequences arising out of my voluntary participation in the activity, except for the sole negligence of the city. I certify that I am the parent or legal guardian of the participant named above; that I have read and understood the foregoing release; and that I join in the release without reservation, granting full consent and authorization for the above-named person to participate in the activity.     _______________ Parent/Guardian Printed Name Name Parent/Guardian Signature Date The Chehalis School District does not sponsor this event and the District assumes no responsibility for it. In consideration of the privilege to distribute materials, the local school district shall be held harmless from any cause of action filed in any court or administrative tribunal arising out of the distribution of these materials, including costs, attorney’s fees and judgments or awards.