ATCC CO-ED SOCCER LEAGUE REGISTRATION FORM

ATCC CO-ED SOCCER LEAGUE REGISTRATION FORM
ALL participants must complete an individual registration form.
Please print clearly. Complete one team entry form per team.
To participate in Co-Ed Soccer, please bring forms & payment to Coaches’ Organizational Meeting on August 27.
Name:_________________________________________________________ Gender: Male: ___ Female: ___
AllianceTexas Company: __________________________________________ Employee: _____ Spouse: _____
Email Address: __________________________________________ Phone Number: ______________________
Participants MUST be an employee or a spouse of an employee of a company located within the AllianceTexas development.
Must be 18 years old or older to play. All participants and/or spouses must have proof of employment and/or residency with the
employed spouse available at the start of any event. Ineligible players will be disqualified with no refund.
Waiver Release and Indemnity
I know that participating in any of these events is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to
abide by any decision of an official relative to my ability to safely complete an event(s). I assume all risks associated with any event including, but not limited to:
falls, contact with other participants, the effects of weather and high heat or humidity, traffic and the conditions of the road or the grounds. All such risks having
been known to me and appreciated by me. Having read the waiver and knowing these facts, and in consideration for you accepting my entry for myself and
anyone entitled to act on my behalf, I waive, release, discharge, and covenant not to sue any sponsors, the AllianceTexas Corporate Challenge, Roanoke
Parks and Recreation Department, The Golf Club at Champions Circle, Brunswick Lanes, Northwest ISD, Hillwood Development Corporation, their representatives,
agents, successors, and/or assigns from all claims of any kind arising out of my participation in this/these events, even though that liability may arise out
of negligence or carelessness on the part of the persons named in this waiver. I grant permissions to all the foregoing to use photographs, motion pictures,
recording or any other record of this event for legitimate purpose. Events will be held regardless of weather conditions.
Signature: __________________________________________________________ Date: _________________
REGISTRATIONS FINAL. NO REFUNDS.
MAKE CHECKS PAYABLE TO: ALLIANCETEXAS CORPORATE CHALLENGE; RETURNED CHECK FEE: $20.
ATCC REGISTRATION FEES - ACCEPTED FROM COMPANIES & INDIVIDUALS
$25 per person for participation in Co-Ed Soccer League
PAYMENT INFORMATION
___ Company Will Pay OR ___ Cash ___Check ___ Credit Card (please fill in information below)
Credit Card #___________________________________ Exp Date: __________ 3-digit Security Code: _______
Name as it appears on card ___________________________________________________________________
Billing address______________________________________________________________________________
Signature if paying by credit card___________________________________________________ Date________
ATXCorporateChallenge.com

ATCC CO-ED SOCCER LEAGUE TEAM ENTRY FORM
Complete one entry per team.
Team Name: ____________________________________________________
Company: ______________________________________________________
Coach: _________________________________________________________
Coach Phone: ___________________________________________________
Coach Email: ____________________________________________________
Roster Final at Coaches’ Organizational Meeting on Wednesday, August 27
Late registrations will not be accepted.
Player Name Male/ Female
1
2
3
4
5
6
7
8
9
10
- Minimum of 9 players on each team; 7 players on field with goalie; must have at least 2 women on field at all times.
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12
13
14
15
16
17
18
19
20