Basketball 2014-2014

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
I, THE PARENT/GUARDIAN OF THE REGISTRANT, A MINOR, AGREE THAT I AND THE REGISTRANT WILL ABIDE BY THE RULES OF COVINGTON YOUTH ASSOCIATION RECOGNIZING THE POSSIBILITY OF INJURY ASSOCIATED WITH SPORTS. I HEREBY RELEASE, DISCHARGE AND/OR OTHERWISE IDEMNIFY THE COVINGTON YOUTH ASSOCIATION, THE CITY OF COVINGTON, TEXAS, COVINGTON I.S.D., AND ANY AFFLILATED ORGANIZATION, SPONSERS AND COACHES, THEIR EMPLOYEES AND ASSOCIATED PERSONNEL, INCLUDING THE OWNERS OF FIELDS AND FACILITIES UTILIZED FOR THE PROGRAMS, AGAINST ANY CLAIM BY OR ON BEHALF OF THE REGISTRANT AS A RESULT OF THE REGISTRANTS PARTICIPATION IN THE PROGRAMS AND/OR BEING TRANSPORTED TO OR FROM THE SAME, WHICH TRANSPORTAION I HEREBY AUTHORIZE.

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