Universal Fastpich Assciation

     National Director Mike Creech

Player must personally print and sign her own name                                                                                   DIRECTOR _________________________               

                                                                                                           SANCTION FORM # ____________________  

                                                                                                           Date ___________________________________  

TEAM NAME                                          AGE DIVISION                                City/State                         

TEAM PLAYERS, MANAGERS AND COACHES MUST  READ THE FOLLOWING BEFORE COMPLETING AND SIGNING          Do you have insurance?  Yes___No                  

                                                                                                                                                                                                                                                         __________________________________

In consideration of participation in UFA events and activities, I hereby agree for myself, successor, heirs and assigns to release and forever discharge UFA, their employees, owners, officers, directors and representatives                                             NAME OF INSURANCE CARRIER

from all claims, actions or judgements I may have or claim to have against UFA for all personal injuries, including death, and damage to property, real or personal, caused by or arising out of my participation in UFA                          

event or activities.  I further agree for myself, successor, heirs and assigns to indemnify and hold UFA harmless from all claims and suits for personal injuries, including death, damage to property caused by my act of                        Insurance Certificate Number                                                           

omission arising out of participation in UFA, and from all judgements recovered and from all expenses incurred in defending said claims or suits.

I further agree that my photographs, pictures, slides, movies or reproductions of same taken by UFA, its employees, officers, directors and representatives, in connection with my participation with UFA, as well as my                          _______________________________________________________

name, may be used by UFA in any manner or by any person, corporation or association authorized by UFA.  I am in good health and have no physical condition that would prevent me from participating in UFA events.
I, THE UNDERSIGNED, HAVE READ AND UNDERSTAND THE FOREGOING RELEASE.

UFA Requirements:  Roster must be signed by all players.  The player is automatically ineligible if a signature appears on more than one roster, unless the player has written release dated and signed by the team manager of the team for which the player will not be a member.  The release must be filed with UFA National office before the team plays in a tournament.  Team rosters must be submitted to UFA National office upon Qualifying for World Championship.  TEAM MEMBERS MAY BE ASKED TO PROVIDE A POSITIVE I.D. UPON REQUEST.

                                                                                                                                                                                                                                                                                                                                                                                                Note:  A birth certificate must be available for each

                        TEAM MANAGER’S AFFIDAVIT                                                                                   Signature of Team Manager                                               Managers’ Name (Print)                                                                             participant in UFA events at the event.

    I am the manager of the above team and guarantee all of the information supplied

above  is correct to the best of my knowledge and that all of the players signed the above   Home Phone: (       )                                                                                                                                                                                                          

in their handwriting and they are eligible to compete with my team in UFA                                                                                                                                       Manager’s Address (Print)                                                                                                                              

events and agree to be bound by the rules and regulations of UFA.                               Office Phone:  (      )                                                                                                                                                                                                                                     

                                                                                                                                                                                                                                                                         City                                        State                         Zip