Registration and Forms

2018 Registration Forms

Registration Fee is $25 annually and can be paid online.
Two forms will need to be filled out; our Release of Liability and Medical Consent to Treat

Upon completion of the Release of Liability form, you will be automatically directed to the Medical Consent to Treat

Upon submission of the Medical form, you will be directed to our online payment page.

2018 Mystix Registration; Release of Liability

In consideration of being permitted to participate in any way with the Poway Mystix Field Hockey Inc, team at all events during Calendar Year 2018, the undersigned:

Section 1

1. Agree that immediately prior to participating and continuously thereafter, the participant and the parent(s) or legal guardian(s) of a minor participant will inspect the facilities and equipment to be used. If the participant believes anything to be unsafe, she will immediately advise her coach and program official of such condition(s), leave the premises, and refuse to participate.

Section 2

2. Expressly acknowledge and agree that the participant will be participating in dangerous activities which involve the risk of serious injury, including permanent disability and death, severe social and economic losses which might result not only from their own actions, inaction's, or negligence, but the actions, inaction's or negligence of others, the rules of play, or the condition of the premises or any equipment used. Furthermore, there may be other risks not known to use or not reasonably foreseeable at this time.

Section 3

3. Assume all foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.

Section 4

4. Release, waive, discharge and covenant not to sue Poway Mystix Field Hockey Inc., their respective administrators, directors, agents, coaches, and other employees or volunteers of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct this event, all of which are hereinafter re-offered to as the “releasees”, from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all damage or property damage, caused or alleged to be caused in whole or in part by negligence of the releasees or otherwise.

Electronic Signing

The undersigned,

referred to as the parent(s) and natural or legal guardian(s) of

does hereby represent that he/she(they) is(are), in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties herein referred to above as releasees from all liability, loss, cost, claim, or damage whatsoever may be imposed upon said releasees because of any defect in or lack of such capacity to so act and release said releasees on behalf of both of the undersigned.

Player & Parent Contact Info
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