Members and Players Tournament Consent Form (cut and paste)
Email Address: Mobile Number:
as a member/player of the [Insert Football Club Name] Football Club
(The Club) agree to be bound by the following:
1. As a member/player I am responsible for the provision of my own Accident, Life, Income Protection
and health insurance covers.
2. I understand the Tournament Executive Committee is not responsible for processing any Insurance claims or covers for me.
3. I intend to have a great time being a member/player of my Club and accept that any risk associated with being
a member/player of the Club is my responsibility.
4. I have read and agree to be bound by the Philosophy and Code of Conduct for the tournament.
5. I _____________________________ agree not to issue any claims against Tournament Executive Committee now or in the future.
6. I agree to indemnify the Club and Tournament Executive Committee if somebody issues claims against any of them in connection with injury, loss or damage I suffer or cause.
7. I agree to inspect the playing surface upon which a game I am to participate in is to be played, and if I play I
agree to be deemed to have accepted voluntarily all and any risks associated with playing sport on the playing
In signing this consent form, I acknowledge that I have read and understood the above terms and requirements and hereby agree to be bound by all such terms, conditions and requirements.
Signed: _____________________________ Date ______________________
Member/Player Full Name: (Please print) __________________________________________
Team Name: ________________________________ (Club)