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Team Registration Form - Fri/Sun Free Shirts
Register your team to play at the Adelaide Indoor Sports Centre
Team Contact Player
Name
*
First
Last
Phone
Alternate Phone Number
*
Email
Date of Birth
Sport & Team Information
Nominated Team Name
*
Sport to Play
*
Soccer
Netball
Cricket
Nominated League
*
Monday Men's
Tuesday Men's
Wednesday Men's
Thursday Men's
Thursday Mixed
Friday Men's
Friday Woman's
Saturday Juniors
Sunday Men's
AISC Champions Cup
Nominated League
*
Monday Woman's
Monday Mixed
Tuesday Woman's
Tuesday Mixed
Saturday Juniors
Sunday Woman's
Sunday Mixed
Nominated League
*
Monday Men's - 6 A Side
Friday Men's - 6 A Side
Preferred Playing Time
Anytime (6.00pm - 10.30pm)
Between 6.00pm & 8.00pm
Between 8.00pm & 10.30pm
Preferred Playing Time
Anytime (9am - 6pm)
Between 9am & 1pm
Between 1pm & 6pm
Preferred Playing Time
Anytime (12pm - 6pm)
Between 12pm - 3pm
Between 3pm - 6pm
Preferred Playing Time
Anytime (6pm - 9.40pm)
Between 6pm & 8pm
Between 8pm & 9.40pm
Preferred Playing Time
Anytime (1pm - 6pm)
Between 1pm & 3pm
Between 3pm & 6pm
Preferred Playing Time
Anytime (7pm - 9pm)
Before 7pm
After 7pm
Preferred Playing Time
Friday Between 6pm & 8pm
Friday Between 8pm & 10pm
Sunday Between 1pm & 3pm
Sunday Between 3pm & 5pm
Sunday Between 5pm & 7pm
Sunday Between 7pm & 9pm
Free Shirt Offer (Adult Sizes)
For a limited time only all new indoor soccer teams registrations will receive FREE shirts for each player to wear (max quantity of 7 shirts). Choose from a selection of national and club teams. Offer ends July 31, 2010.
Select your preferred style below in order of preference.
Shirt Styles - First Preference
Argentina (blue / white)
England (white)
England (red)
Mexico (green)
Germany (white)
Holland (orange)
Holland (white)
Australia (yellow)
Australia (navy)
Japan (blue)
Cameroon (green)
Italy (blue)
Italy (white)
New Zealand (white)
New Zealand (black)
Portugal (white)
Portugal (maroon)
Spain (red)
Spain (navy)
South Africa (yellow)
France (blue)
Brazil (yellow)
Greece (blue)
Greece (white)
Ireland (green)
AC Milan (black)
Blackburn (blue/white)
Aston Villa (maroon)
Porto (red)
Liverpool (red)
Rangers (blue)
Juventus (grey)
Juventus (black/white)
River Plate (white)
Shirt Styles - Second Preference
Argentina (blue / white)
England (white)
England (red)
Mexico (green)
Germany (white)
Holland (orange)
Holland (white)
Australia (yellow)
Australia (navy)
Japan (blue)
Cameroon (green)
Italy (blue)
Italy (white)
New Zealand (white)
New Zealand (black)
Portugal (white)
Portugal (maroon)
Spain (red)
Spain (navy)
South Africa (yellow)
France (blue)
Brazil (yellow)
Greece (blue)
Greece (white)
Ireland (green)
AC Milan (black)
Blackburn (blue/white)
Aston Villa (maroon)
Porto (red)
Liverpool (red)
Rangers (blue)
Juventus (grey)
Juventus (black/white)
River Plate (white)
Shirt Styles - Third Preference
Argentina (blue / white)
England (white)
England (red)
Mexico (green)
Germany (white)
Holland (orange)
Holland (white)
Australia (yellow)
Australia (navy)
Japan (blue)
Cameroon (green)
Italy (blue)
Italy (white)
New Zealand (white)
New Zealand (black)
Portugal (white)
Portugal (maroon)
Spain (red)
Spain (navy)
South Africa (yellow)
France (blue)
Brazil (yellow)
Greece (blue)
Greece (white)
Ireland (green)
AC Milan (black)
Blackburn (blue/white)
Aston Villa (maroon)
Porto (red)
Liverpool (red)
Rangers (blue)
Juventus (grey)
Juventus (black/white)
River Plate (white)
Number of Shirts Required (one per player / max seven)
5
6
7
Free Shirts Offer (Kids Sizes)
For a limited time only all new indoor soccer teams registrations will receive FREE shirts for each player to wear (max quantity of 7 shirts). Choose from a selection of national and club teams. Offer ends July 31, 2010.
Select your preferred style below in order of preference.
Shirt Styles (First Preference)
Argentina (blue/white)
England (white)
England (red)
Holland (orange)
Australia (yellow)
Australia (navy)
Italy (blue)
Italy (white)
New Zealand (white)
Portugal (maroon)
Spain (red)
Brazil (yellow)
Germany (white)
Turkey (red)
Greece (blue)
Greece (white)
Malta (white)
Celtic (green)
Chelsea (blue)
Arsenal (red)
Liverpool (red)
AC Milan (red/black)
Shirt Styles (Second Preference)
Argentina (blue/white)
England (white)
England (red)
Holland (orange)
Australia (yellow)
Australia (navy)
Italy (blue)
Italy (white)
New Zealand (white)
Portugal (maroon)
Spain (red)
Brazil (yellow)
Germany (white)
Turkey (red)
Greece (blue)
Greece (white)
Malta (white)
Celtic (green)
Chelsea (blue)
Arsenal (red)
Liverpool (red)
AC Milan (red/black)
Shirt Styles (Third Preference)
Argentina (blue/white)
England (white)
England (red)
Holland (orange)
Australia (yellow)
Australia (navy)
Italy (blue)
Italy (white)
New Zealand (white)
Portugal (maroon)
Spain (red)
Brazil (yellow)
Germany (white)
Turkey (red)
Greece (blue)
Greece (white)
Malta (white)
Celtic (green)
Chelsea (blue)
Arsenal (red)
Liverpool (red)
AC Milan (red/black)
Number of Shirts Required (one per player / max seven)
5
6
7
Registration Confirmation
How Did You Find Us?
Google
Facebook
Friend
Played Before
Flyer
SMS
Other
Please Specify How You Hear Found Us
Assumption of Risk
1. The CUSTOMER must disclose any pre-existing medical or other condition that may affect the risk that either the CUSTOMER or any other person will suffer injury, loss or damage. 2. The CUSTOMER acknowledges that the PROPRIETOR relies on the information provided by the CUSTOMER, and the CUSTOMER states that all such information is accurate and complete. 3. The CUSTOMER acknowledges that indoor sports are an inherently dangerous activity. The CUSTOMER recognises that there are risks specifically associated with INDOOR SPORTS activity. 4. The CUSTOMER understands and acknowledges the dangers associated with the consumption of alcohol or of any mind altering substance before or during a game and the CUSTOMER accepts full responsibility for injury, loss or damage associated with the consumption of alcohol or any other mind altering substance. 5. The CUSTOMER agrees with the PROPRIETOR that the CUSTOMER will obey and will comply with all rules and directions made or given by the PROPRIETOR in connection with the facility. If a customer fails to comply with the PROPRIETOR’S rules and/or directions, the CUSTOMER will not be permitted to play or continue to play and no refund will be given. 6. The CUSTOMER accepts all risks associated with the INDOOR SPORTS activity, including the possibility of injury, death, loss or damage. 7. The CUSTOMER agrees to indemnify the PROPRIETOR against all claims made by any other person against the PROPRIETOR in respect of any injury, loss or damage arising out of or in connection with the customer’s failure to comply with the PROPRIETOR’S rules and/or directions. 8. The CUSTOMER agrees and acknowledges that, to the extent permitted by law, the PROPRIETOR shall not be liable for any injury, loss or damage suffered by the CUSTOMER or by any other person arising from or in connection with the CUSTOMER’S participation in the game, whether such injury, loss or damage was caused directly or indirectly by the negligence of the PROPRIETOR or otherwise, or by the PROPRIETOR’S servants or agents. The CUSTOMER hereby releases the PROPRIETOR from all such claims and indemnifies the PROPRIETOR from all such claims, and indemnifies the PROPRIETOR against all claims made by or on behalf of any other person. 9. To the extent permitted by law, the CUSTOMER acknowledges and agrees that all warranties, covenants and stipulations are here by excluded. 10. All accidents, injuries, loss or damage must be reported by the CUSTOMER to the PROPRIETOR before the CUSTOMER leaves the PROPRIETOR’S property. 11. If the CUSTOMER suffers from any injury or illness, the CUSTOMER agrees that the PROPRIETOR may provide evacuation, first aid and medical treatment at the CUSTOMER’S expense and the CUSTOMER’S acceptance of these terms and conditions constitutes the CUSTOMER’S consent to such evacuation, first aid and/or medical treatment. 12. I ACKNOWLEDGE THAT I HAVE READ THIS ASSUMPTION OF RISK SIGNATURE FORM AND THAT IT HAS BEEN EXPLAINED TO ME. I FULLY UNDERSTAND ITS TERMS AND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT. I SIGNED THE DOCUMENT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
All the team members agree and understand the rules and terms and agree to the assumption of risk guidelines
*
All team members understand AND agree
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