Wausau Middle and High School

Indoor Soccer League

2016 - 2017
League Information
Separate middle school, high school boys and high school girls brackets
Games will be played at Wausau West High School and Horace Mann Middle School
Games will be played on the following Sundays:
December 11 - at West between 4-8 pm
December 18 - at West between 4-8 pm
January 15 - at West between 4-8 pm
January 22 - at West between 4-8 pm
January 29 - at Horace Mann between 1-5 pm
February 12 - at Horace Mann between 1-5 pm
February 26 - at Horace Mann between 1-5 pm
March 5 - at Horace Mann between 1-5 pm
Guaranteed at least 2 games per Sunday (within 90 minutes)
Game is 4v4 (no keepers)
Game is comprised of two 12 minute halves
Halftime: 3 minutes
Roster max: 7 players
Bring a light and dark colored shirt (or matching practice vests)
First place team from each bracket will be awarded Politos gift certificate
Registration Information
Registration: $140 per team
Registration with official roster, waivers, and fees due: D
ecember 2, 2016
Please make checks out to Wausau East High School
If Wausau East or West player, put roster, waivers, and fees in coachs mailbox OR
Send roster, waivers, and fees to: 1052 Marquardt Rd, Wausau, WI 54403, ATTN: Elizabeth Kurth
Contacts

Elizabeth Kurth

ekurth@wausauschools.org

262-719-243
4

Jeff Sorenson

uw4ster@gmail.com

715-573-609
2

Jordan Dinjer

jdinjer@wausauschools.org

262-758-127
1

Paul Stuebs

pstuebs@wausauschools.org

Brandon Wachholz

bwachhol@wausauschools.or
g

715-498-837
1

Wausau Middle and High School

Indoor Soccer League
2016 2017
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
PARTICIPANT
In consideration of being allowed to participate in any way in the Wausau Indoor Soccer League, the undersigned acknowledges,
appreciates and agrees that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death
and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE
NEGLIGENCE OF THE RELEASES or others and assume full responsibility for my participation; and
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual
significant hazard during my presence or participation, I will remove myself from participation and bring such to the attentions of the
nearest official immediately; and
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD
HARMLESS, the Wausau School District, their officers, officials, agents, volunteers, and/or employees, other participants, sponsoring
agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (Releases), WITH
RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM
THE NEGLIGENCE OF THE RELEASES OR OTHERWISE.

PARENT OR GUARDIAN
AND I, THE MINORS PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITIES AND THE
MINORS EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER
PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE,
AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY CLAIMS,
DEMANDS, LOSSES, OR DAMAGES ON THE MINORS ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN
PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATION AND
FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINORS BEHALF MAKES A CLAIM
AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE
RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS
THE RESULT OF ANY SUCH CLAIM.

Signature:________________________________________

Date:_______________________

Wausau Middle and High School

Indoor Soccer League
2016-2017
OFFICIAL ROSTER/WAIVER
Team Name:________________________________ Bracket (circle one): MS Co-ed / HS Girls / HS Boys
Team Contact Name:_____________________________________________________________________
Address:_______________________________________________________________________________
City:__________________________ State:_______ Zip:__________ Telephone: ____________________

Players Name

Date of birth

Phone Number

Middle or High School

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1) If Wausau East or West soccer player, hand in signed waiver forms, along with roster and
payment, to coachs mailbox by December 2
OR
2) Send signed waiver forms, along with roster and payment, by December 2 to:
Elizabeth Kurth
1502 Marquart Road
Wausau, WI 54403