Soccerland Coed League - (Winnipeg, MB) - powered by LeagueLineup.com

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CLICK HERE to complete the Player Registration Form

PLAYER OR COACH INFORMATION

* Team Name:

* First Name:

* Last Name:

* Select One:

Captain

Player

* Home/Mobile Phone:

* Birthdate:

* Email:

* Gender:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

INSURANCE INFORMATION ( ** Must check one of the boxes to indicate your choice **)

I choose to OPT OUT of the League Insurance

BY OPTING OUT OF THE INSURANCE, I WAIVE ANY AND ALL CLAIMS THAT I HAVE, OR MAY HAVE IN THE FUTURE, AGAINST THE RELEASES; AND TO RELEASE THE RELEASEES FOR ANY AND ALL LIABILITY FOR ANY LOSS, DAMAGE, EXPENSE OR INJURY (INLCUDING DEATH) THAT I, OR MY NEXT OF KIN, MAY SUFFER AS A RESULT OF MY PARTICIPATION IN THE SOCCERLAND LEAGUE AT THE UINVERSITY OF WINNIPEG RECPLEX. I UNDERSTAND THAT I AM RELINQUISHING MY RIGHT FOR ANY FUTURE COMPENSATION DUE TO ANY POTENTIAL LOSS, INJURY, DAMAGE OR EXPENSE.

I choose to OPT INTO the insurance plan

BY OPTING INTO THE VOLUNTARY INSURANCE PLAN, YOU MUST ETRANSFER THE $10.00 FOR YOUR LEAGUE INSURANCE PREMIUM PAYMENT TO soccerlandleague@outlook.com You may refer to the Insurance tab for further information regarding the process, or email for further questions.

Your online player registration ⚠️WILL NOT BE CONSIDERED COMPLETED⚠️ until we have received the waiver and ID

Please copy and paste the link below into a browser to fill out the WAIVER.

FOR ALL PLAYERS, I agree to fill out the Player's Waiver using the link listed below and submit it to Soccerland League *

👉 https://form.jotform.com/242809037025049 👈

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