Application Form
Monument 3 v 3 Soccer Cup

Return form with the signed waiver and $80 entry fee, payable to Monument Cup Soccer   
 
Back to MCup.org 

 

TEAM NAME
(Captainís Hometown will precede Team Name)

____________________________________________

Contact Adult Name:

____________________________________________

Contact Adult Address:

____________________________________________

____________________________________________

Contact Adult Phone Number: (home and cell) 
& e-mail

H___________________ C_______________________

E-mail: _______________________________________


Captain, Player 1  (please print)

____________________________________________
Last Name                        First Name

____________________________________________
Address

____________________________________________
City                          State                      Zip Code

_____________________ ______________________
Phone                                 Birth Date

E mail: ______________________________________

Player  2 (please print)

___________________________________________
Last Name                       First Name

___________________________________________
Address

___________________________________________
City                           State                    Zip Code

_____________________ ______________________
Phone                                  Birth Date

E mail: ______________________________________ 

 


Division (Check One)


___ U -10 Boys       ___ U- 10 Girls

Born After 7/31/03

___ U-12 Boys       ___ U-12 Girls

Born After 7/31/01

___ U-14 Boys      ___ U-14 Girls

Born After 7/31/99

Contact Adult Signature:

____________________________________________

 
Player 3 (please print)

____________________________________________
Last Name                                 First Name

____________________________________________
Address

____________________________________________
City                            State                  Zip Code

_______________________ ____________________
Phone                                       Birth Date

E mail:______________________________________


Player 4
(optional, please print)

_____________________________________________
Last Name                                 First Name

_____________________________________________
Address

_____________________________________________
City                          State                   Zip Code

______________________ _______________________
Phone                                  Birth Date

E mail: _______________________________________

                Return application and fee to:   Matt Naventi, Tournament Director  325 Marble Street , Lee , MA 01238     
   
Office Use Only:
Accepted: ________     Date Received: _______
Notified: _________      Returned:  ___________   MYSA/ BC ____ ____ ____ ____
Paid: ____________     Date: _______________                          1       2       3       4


 




.

WAIVER: For and in consideration of PARTICIPANTs registration with Monument Cup, its affiliates, any sponsoring or underwriting associates and/or member teams (hereinafter, collectively referred to as "Monument Cup") and PARTICIPANTs being allowed to participate in Monument Cup events and member team activities, each PARTICIPANT or PARTCIPANTs parent(s) or legal guardian(s) on behalf of PARTICIPANT (if PARTICIPANT is a minor or has a legal guardian) relinquishes and waives any and all claims and causes of action for personal injury, properly damage or wrongful death in connection with, relating to or arising from any and all Monument Cup events and member team activities, wherever and however such personal injuries, property damage or wrongful death occur. In the language which follows, any reference to a PARTICIPANT includes the PARTICIPANT and any and all of PARTICIPANTs parent(s) or guardian(s) signing on behalf of such PARTICIPANT and "Monument Cup" means any Monument Cup events and member team activities To the best of his or her knowledge, each PARTICIPANT acknowledges, understands, has full knowledge of. and assumes all risks, inherent in each and all Monument Cup activities and understands that such sports and activities involve risks to PARTICIPANT, including possible bodily injury, partial or total disability, paralysis, death and other injuries and damages which may arise therefrom. Each PARTICIPANT further acknowledges and understands: (a) that such risks and dangers may be caused by the negligence of PARTICIPANT or negligence of others, including the 'RELEASEES" identified below, and (b) that there may be risks and dangers in connection with or relating to Monument Cup activities not known or reasonably foreseeable at the present time. Each PARTICIPANT further acknowledges, understands and agrees that included within scope of the Agreement are any claims or causes of action (a) arising from the performance or failure to perform maintenance or inspection or to supervise or control such facilities or premises, (b)relating to failure to warn of dangerous conditions existing in or at such facilities or premises; (c) negligent selection, appointment or retention of any RELEASEES, and (d) negligent supervision or instruction of or by any RELEASEES. PARTICIPANT UNDERSTANDS AND AGREES THAT AN EXPRESS PURPOSE OF THIS AGREEMENT IS TO EXEMPT. WAIVE AND RELEASE RELEASEES FROM LIABILITY FROM.PERSONAL INJURY. PROPERTY DAMAGE AND WRONGFUL DEATH CAUSED BY NEGLIGENCE, INCLUDING ANY NEGLIGENCE BY ANY RELEASEES. PARTICIPANT expressly acknowledges and agrees that the activities at the event in which he or she is participating are dangerous and involve the risk of serious injury and /or death and/or property damage. The PARTICIPANT further expressly agrees that the foregoing release, waiver and indemnity provisions are intended to be as broad and inclusive as is permitted by the law of Massachusetts, an that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect. "RELEASEES" include Monument Cup and its affiliates and any sponsoring associations, member teams, event hosts, other PARTICIPANTS, coaches, officials, sponsors, advertisers, and owners and operators of facilities and premises used for Monument Cup activities, any and all officers, directors, agents, board members, volunteers, employees and representatives of any of the foregoing. Each PARTICIPANT agrees that if any claims or causes of action relating to PARTICIPANTS personal injury or wrongful death or for property damage relating to or arising out of any Monument Cup activities is made or commended against any RELEASEES, such PARTICIPANT shall defend, indemnify and hold harmless such RELEASEES from such claims or causes of action and all damages and liabilities relating thereto, including reasonable attorney's fees and costs and expenses to defend. PARTICIPANTS AGREE THAT: 1. Before participating in any Monument Cup Activities, they will inspect the facilities, premises and equipment to be used, and if they believe that anything is unsafe, they will immediately advise their coaches or supervisors of such conditions and refuse to participate. 2. High School and college players must check their league/conference eligibility rules before the players or teams accept any awards, and such players understand that by accepting awards, they also accept eligibility ruling which may be imposed. 3. They understand and agree that it may be necessary to play games in adverse weather conditions due to the nature of the particular events. EACH PARTICIPANT ACKNOWLEDGES THAT HE OR SHE (A) HAS READ THE ABOVE PARAGRAPHS. (B) HAS NOT RELIED UPON ANY REPRESENTATIVES OF ANY OF RELEASEES WITHOUT REASONABLE VERIFICATION OR INQUIRY; (C) HAS TO THE BEST OF HIS OR HER KNOWLEDGE AND TO HIS OR HER SATISFACTION, BEEN FULLY ADVISED OF THE RISKS AND POTENTIAL DANGERS OF Monument Cup ACTIVITIES; AND (D) SIGNS THIS AGREEMENT VOLUNTARILY, UNDERSTANDING THAT THIS AGREEMENT IS NECESSARY IN ORDER FOR AMATEUR SPORTS EVENTS SUCH AS THE MONUMENT CUP ACTIVITIES TO EXIST IN THEIR PRESENT FORM.

Parent/   Legal Guardian Signature (Player 1):  ________________________________  Date: ___________

 

Parent/   Legal Guardian Signature (Player 2):  ________________________________  Date:  ___________

 

Parent/   Legal Guardian Signature (Player 3):  ________________________________  Date:  ___________

 

Parent/   Legal Guardian Signature (Player 4):  ________________________________  Date:  ___________