2019 USPL Online Registration

PLAYER INFORMATION
WAIVER INFORMATION
I have carefully read and understood this Waiver, Release and Indemnity, Declaration of Health and Agreement. I agree that it forms part of my U.S.P.L. Registration Form and that it is binding upon me in accordance with its terms. I further agree that this Waiver, Release and Indemnity, Declaration of Health and Agreement shall extend to any lawful successor of the U.S.P.L., and to the successor's directors, officers, executive members, agents and any other organization for whom it is responsible in law.
Please note: Misrepresentation of personal information will result in membership termination.
Signature:
Date:
 

* indicates required fields