OHS Youth Basketball League

Subscribe to our Newsletter

Player Registration

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

State:

Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* Grade:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* EMail:

* Home Phone:

Work Phone:

* Cell Phone:

PARENT/GUARDIAN #2

* First Name:

* Last Name:

Email:

Home Phone:

Work Phone:

* Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

* Insurance Carrier:

* Policy #:

WAIVER INFORMATION

OHS Youth Basketball League

PLAYER RELEASE OF LIABILITY FORM

WAIVER, RELEASE AND ASSUMPTION OF RISK: In consideration of my participation in the OHS YOUTH BASKETBALL LEAGUE, I hereby waive, release and discharge all claims for damages for death, personal injury, or property damage which may occur as a result of my participation in the basketball organization or any activity incident thereto. This release discharges in advance the City of Newman, Newman Crows Landing Unified School District, Orestimba High School, Coach Charles Roth, its officers, agents, servants, coaches and employees, game officials and referees (hereinafter referred to collectively as “CITY”) from liability even though that liability may arise out of the CITY’S active or passive negligence or carelessness. I acknowledge that some recreational activities, including basketball, involve an element of risk or danger of accidents, injury and even death, and knowing those risks, I freely and voluntarily assume the risk of injury and/or death and I promise not to sue or exercise any legal right to seek damages from CITY. By this Agreement, I also intend to waive, release and discharge all claims for personal injury, death or property damage caused by the condition of the basketball court or any equipment thereon including hoops, backboards, nets, balls.

I understand that this WAIVER, RELEASE and ASSUMPTION OF RISK form will remain on file with the CITY and that it will apply to the current season.

I certify that I have no medical condition that would cause participation in basketball to increase the risk of hazard to my health. In addition, I authorize any representative of the OHS Youth Basketball League to provide or cause to be provided such medical treatment that may be necessary or appropriate if I am injured while participating in basketball activities.

I hereby consent to the photographing, recording or reproduction in any other manner (including the use of videotapes and audiotapes) of my or my child’s likeness, voice and/or basketball activities and further authorize OHS Youth Basketball League representatives to make unlimited use of such reproductions, including but not limited to, broadcasting to the public of the reproductions over radio and television stations. I understand that I will not receive any monetary compensation, now or in the future, for participant. I hereby release and hold harmless any representative of the OHS Youth Basketball League from any claims that may result from the use of such reproductions.

I have read and understand the rules, guidelines and bylaws of the OHS Youth Basketball League and agree to abide by them. I understand that failure to abide by them may result in my expulsion from the Organization.

I/we agree with the above *

* Size Top:

Uniform *

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

Player Registration