Adult Seria C Division

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ADULT SERIA C DIVISION

(Non-Competitive League)

Details

Ø      Games will be on Thursday’s beginning January 19^th  through March 22^nd  

Ø      Depending on the number of teams accepted, some games may play on different weekday.

Ø      Registration Deadline is December 30^th   

Ø      10 games guaranteed

Ø      Cost is $575 per team

Ø      Registration is on a first-come, first –serve basis.

Ø      Registration is not complete until payment is received.

Ø      Teams are responsible for paying referees. Cost per team is $10 per game. Referees must be paid in full prior to playing.

Ø      Games will be 7 v 7 (6 and a keeper) with 25 minute halves.  There is no maximum number of players for each team. 

Ø     All teams are Co-Ed and must have one female player on the field at all times

Ø    Team roster is due before the first game. 

Ø      NO competitive league players permitted to play in this league

Ø      Any team that is deemed too competitive for this league after the first games are played will be moved to a more appropriate league.

Make Check payable to Pro Performance.

Credit Card payments will also be taken.

Please call Pro Performance to pay by Credit Card.

Return Entry Form and Check to:

Pro Performance

C/o Kernell Borneo

460 Mylan Park Lane
Morgantown, WV 26501

For further details, please contact Kernell Borneo

Phone: (304)-290-2610           Email: Kernel@properformancerx.com

CSERIA C LEAGUE TEAM REGISTRATION

THURSDAY’S BEGINNING 1/19/12 – 3/22/12

TEAM NAME:  ____________________________________________________________

TEAM CAPTAIN / CONTACT:  _____________________________________________

MAILING ADDRESS:  _____________________________________________________

__________________________________________________________________________

PHONE NUMBER:  _____________________   CELL:  ___________________________

EMAIL: ____________________________________________________________________

SECONDARY TEAM CONTACT:  ___________________________________________

PHONE NUMBER:  _____________________   CELL:  ___________________________

PAID BY:     ________  CHECK     ________  CREDIT CARD      _________  CASH

Return Entry Form and Check to:

Pro Performance

C/o Kernell Borneo

460 Mylan Park Lane
Morgantown, WV 26501

For further details, please contact Kernell Borneo:

Phone: (304)-290-2610          

Email: Kernell_Borneo_ProPerformanceRX@hotmail.com

Team Waiver & Liability Agreement

I understand that there are risks associated with playing all sports and field related activities. In consideration for the privilege to use the facility and/or attend the camp/clinic, my signature indicates that I assume the risk of any injuries that myself or my children/wards/players may sustain while participating in any activity sponsored or approved by Pro Performance, LLC, and for any injuries which myself or my children/wards/players may sustain while on the premises of Pro Performance, LLC located at 460 Mylan Park Lane, Morgantown, WV 26501 or in any other facility utilized by Pro Performance, LLC and go, remise, release and forever hold harmless Pro Performance, LLC and their officers, agents, employees, coaches, independent contractors and/or team managers from any actions, suits, damages, claims, or judgments, that may result from any personal injury that myself and/or my children/wards/players may sustain while on the premises of the said facility, or while using the equipment of Pro Performance, LLC, or while engaged in any activities sponsored by Pro Performance, LLC. I also understand that Pro Performance, LLC is held harmless and will not issue credit in the event that I or my child/players, the attendees, cannot attend due to illness, injury, hazardous road conditions, severe storm, flooding, wind, war or other acts of God or any unforeseen occurrences that could frustrate the whole or any part of this event and/or schedule.  I agree to allow photographs taken of myself and/or my children/wards/players to be used in any marketing/advertising publications by and for Pro Performance, LLC.

I understand that Pro Performance, LLC does not provide health and/or accident insurance.  I assume full and complete responsibility for any and all medical and/or dental bills arising out of my or my child’s/players’ participation in the Pro Performance, LLC sponsored activity, and hereby agree to indemnify and hold harmless Pro Performance, LLC and its parties from any and all liability associated with my or my child’s/players’ participation in clinics/camps.  I insure that I am or my child/players are physically and mentally able to participate in physical activities and have been examined by a licensed medical physician within one (1) year prior to attending this clinic/camp.  I give permission for Pro Performance, LLC and its associates or contracted health care provide to start preliminary treatment and arrange transportation for me or my child to a local Emergency Room in the event that I or my child/players become(s) ill or injured.  By signing this Waiver and Liability Agreement, I acknowledge that I HAVE READ AND FULLY UNDERSTAND AND AGREE TO ALL OF ITS TERMS AND CONDITIONS INCLUDING PERMISION TO TREAT AGREEMENT. I further state that I have executed this waiver and liability voluntarily and with full knowledge of its significance to be binding on my, my heirs, executors, administrators and assigns.

SERIA C  LEAGUE DIVISION

TEAM NAME:__________________________________________

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