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The Berkshires Cup 2026

Player Waiver & Release

All registered players must complete this form before taking the field

Notice: This waiver is a legally binding document. Please read it carefully in its entirety before signing. If you have any questions, contact us at info@drdeborahsalmonfoundation.org before submitting.
Player Information

Emergency Contact

Acknowledgments
Each item below must be checked to submit
Parent / Legal Guardian Consent

Because this player is under 18, a parent or legal guardian must complete and sign below. By doing so, the guardian represents that they have authority to bind the minor to this Agreement and agree to all terms on the minor's behalf.

Electronic signature valid under the E-SIGN Act and M.G.L. c. 110G.

Signature

By typing my full legal name below I acknowledge that I have read this Agreement in its entirety, that I understand and agree to its terms, and that I am signing freely and voluntarily. I understand this is a legally binding document.

This electronic signature is legally binding under the E-SIGN Act (15 U.S.C. § 7001) and the Massachusetts Uniform Electronic Transactions Act (M.G.L. c. 110G). Your IP address and the date and time of submission will be recorded.

A confirmation will be sent to the email address provided. Your submission is time-stamped and retained on file. Players who have not submitted a completed waiver will not be permitted to take the field under any circumstances.