Team Name     HOME Team
Opponent   Date   PLAYERS CAUTIONED
Field   Time   DIVISION   NO. REASON LEAVE
PRINT PLAYER'S NAME                    
NO. NAME PASS NO.                    
                         
                         
                         
     
      VISITING Team
      PLAYERS CAUTIONED
      NO. REASON LEAVE
                         
                         
                         
                         
                         
     
      Guest Players Sign Waiver below
      In consideration for being permitted to engage in the Silicon Valley Soccer
      Association and Affiliated Leagues activities of whatever nature, including,
      but not limited to, games, events, and projects, the undersigned member
      agrees to indemnify, defend, and hold harmless the Silicon Valley Soccer
      Association and Affiliated Leagues from and against any and all claims,
      actions, causes of action, obligations and liabilities for property damage
                      and personal injury to any person, including myself, which are or could be
HOME Name/ Color       VISITOR   Name/ Color   asserted against the Silicon Valley Soccer Association and Affiliated
    Leagues, as a result of any acts or omissions by the undersigned.  The
1st.  HALF                     undersigned realizes that he or she participates in the activities sponsored by
2nd. HALF                      the league, including games, at his or her own risk and that the undersigned
FINAL SCORE     shall be wholly responsible for any injuries or other damage suffered by him
 or her due to said participation in League activities.
Name:           Driver's License#
Referee # 1                    
Signature                
Referee # 2    
Name:           Driver's License#
                   
Signature