**GAME SHEET MUST BE READY 10 MIN. PRIOR TO GAME TIME. PLAYERS ARRIVING AFTER HALF TIME BREAK WILL NOT BE PERMITTED TO PLAY**

SOCCERLAND LEAGUE DATE

TEAM

REFEREE

FIELD

TIME

PLAYERS NAME

PLAYERS SIGNATURE

YELLOW

RED

GOALS

GOLDEN LIONS NUMBER

Edgar Pino

GOALS

CAPTAIN

Edgar Mauricio Barahona Farinango Nicole DeMelo Ivon Forero Marcelo Hiebert Elkin Jimenez Nicole Jowett Guido Machandi Luis Martinez Brayhan Melo Jhon Melo Carlos Moyano Luis Elder Murcia Camacho Marissa Murray Tiffany Pierce Julio Sardinas Fabian Varon zapata ************************************

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Brandi Holden Katie Neufeld Syed Shabib Raza Luis Miguel Murcia Michelle Marsden $200.00 FINE FOR ANY UNREGISTERED PLAYERS WHO DO NOT APPEAR ON YOUR ROSTER Iris López By siging this Participant Waiver/Game Sheet you are assuming certain risks and waiving certain rights, including the right to sue. PLEASE READ IT CAREFULLY BEFORE SIGNING. I acknowledge that the activities taking place during a soccer game have an inherant risk of injury, including, but not limited to those related to contact with the turf, the facility, the equipment used, and other individuals. I further assume all risks, including injury and property loss as a result of my participation in the Soccerland League, and release Soccerland and all of its agents and employees from any claim or course of action. By signing above I hereby agree that Soccerland is in no way liable or responsible for any injury.