2012 AAU REGISTRATION TRY-OUT FORM
To complete registration process: 1). complete this registration form, 2) provide copy of birth certificate at try-outs
3) pay required fees (There are no refunds)
PLAYER INFORMATION
Players First Name Last Name Home Phone
Address City Zip Cell Phone
E-mail Address Age Grade
Birth Date (MM/DD/YYYY) School Shirt Size Gender
RELEASE OF LIABILITY – WAIVER FORM
IN CONSIDERATION of being given the opportunity to participate in any basketball, volleyball, soccer, cheerleading or other physical sports activities, including scheduled, supervised team and/or instructional activities, for as long as I participate in such activities, I, for myself, my personal representatives, assigns, heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of basketball, volleyball, soccer, cheerleading and other physical sports activities, (the “Activities”), and that I am qualified, in good health, and in proper physical condition to participate in such Activities.
2. FULLY UNDERSTAND that:
(a) BASKETBALL, VOLLEYBALL, SOCCER, CHEERLEADING AND OTHER PHYSICAL SPORTS ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (“RISKS”, ALL OF WHICH RISKS ARE INCREASED BY CONDUCTING THEM INDOORS.)
(b) these Risks and dangers may be caused by my own actions, or inactions, the actions or inactions of others participating in the Activities takes place, or the negligence of the Releasee named below; (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I INCUR AS A RESULT OF MY PARTICIPATION IN THE ACTIVITIES.
3. AGREE AND WARRANT that I will examine and inspect each Activities in which I take part as a participant of the Court Time Sports Center, and that, if I observe any condition which I consider to be unacceptably hazardous or dangerous, I will notify the proper authority in charge of the Activities and will refuse to take part in the Activities until the condition has been corrected to my satisfaction.
4. HEREBY RELEASE, discharge, and covenant not to sue Court Time Sports Center, LLC, its instructors, members, directors, agents, officers, volunteers and employees, any sponsors, advertisers, and if applicable, owners and lessors of premises, on which the Activities takes place, (each considered one of the Releasees herein) from all liability, claims, demands, losses or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasee or otherwise, including negligent rescue operations; and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as a result of such claim, to the fullest extent permitted by law.
I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND
IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, NOTWITHSTANDIN, SHALL CONTINUE IN FULL FORCE AND EFFECT.
IF PARTICIPANT IS UNDER THE AGE OF 18, THIS FORM MUST BE SUBMITTED BY THE PARENT/GUARDIAN.
By clicking on the submit button below, I am agreeing that I am 18 years old or older and/or I am the parent/legal guardian of the child above, and have read the above Waiver and agree to its terms on behalf of my child and myself.
PARENT/GUARDIAN INFORMATION
Parent/Guardian First Name Last Name Home Phone
Work Phone Cell Phone E:Mail
Parent/Guardian First Name Last Name Home Phone
Work Phone Cell Phone E:Mail
