Intent to Play-Fall 2020

Intent-To-Play Fall 2020 Season

This is REQUIRED of ALL returning Hurricanes AND Junior Hurricanes who were on a Spring 2020 team
$155 player commitment deposit is required to hold a place on a team for Fall 2020
Deposit will be refunded if there is no opportunity to place your player on a Hurricanes team.
Form and registration fee deposit must be received by June 15 to guarantee your place on a team.
After June 15 all positions will be re-opened up for the new players trying-out during the summer sessions.

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Player Information

Player Name *

First

Last

Played Hurricanes Spring 2020 *

YES NO

Gender *

Birth Date *

Grade *

Shirt Size *

Street *

City *

Zip Code *

Parent/Guardian Information

Parent Name *

First

Last

Cell Phone *

Primary Email *

2nd Email *

Player Participation & Payment Agreement - Liability Waiver

I, as the parent/legal guardian of the player named above, do hereby declare our intent to allow this child to practice, play, and participate in all programs and activities associated with the Pleasure Island Soccer Association, including any related activities and transportation. We/ I hereby release and hold harmless from any and all liability; Pleasure Island Soccer Association, its coaches, sponsors, associated board members and personnel, officials, or any others associated with this organization against any claim by or on behalf of the player’s participation in this program, including any ailment, sickness or bodily arising from COVID-19, whether supposed or actual, and any personal or financial impact arising thereof.

We/ I do hereby authorize Pleasure Island Soccer Association or any representatives including coaches, officials, or anyone associated with this organization, if after reasonable attempt has been made to reach the designated parent/guardian named above to consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to any x-ray, anesthetic, medical or surgical diagnosis or treatment or hospital care, to be rendered to the player under the general or special supervision and on the advise of any physician, dentist or surgeon duly licensed to practice, be indeed rendered to the Registrant.

We/I understand there are hard costs associated with this program and for my child to play, and we/I agree to pay the player participation fee for our child for the Fall 2020 season. Once registered, a non-refundable deposit of $100 will be due as a player commitment / start-up and administrative costs to register your player. We/I understand actual costs may fluctuate slightly from the original estimated budget based on actual costs and number of tournaments entered, other games played, rained-out events; but agree regardless to reimburse (Pleasure Island Soccer Association, Inc.) PISA for any monthly dues owed as explained in the team budget for the Season, and agree to payment in full on or before Dec.1, 2020.

By clicking the Submit button below, you agree to have read the Player Participation Agreement.

I agree to the terms described above. *

YES - I Agree to the terms

I Agree & Submit Form

(BE SURE ALL REQUIRED FIELDS ARE COMPLETED)Player Information

Parent/Guardian Information

Player Participation & Payment Agreement - Liability Waiver

(BE SURE ALL REQUIRED FIELDS ARE COMPLETED)
Player Information