Basketball Registration Form - City Of Willowick (Page 2 of 2) in pdf

PARTICIPATION WAIVER

I assume all risks and hazards incidental to such participation including transportation to and from

activities, and I do hereby waive, release, absolve, indemnify, and agree to hold harmless the Willowick

Recreation Department, supervisors, volunteers, participants, and persons transporting my child to and

from activities, for any claim arising out of an injury to my child.

I hereby grant permission for my child ____________________________________________ to

participate in the basketball program and assume responsibility for medical, dental, hospital, and related

expenses incurred. I will not hold Willowick Recreation Department, coaches, or the City of Willowick

responsible for any medical, dental, hospital, or related expenses arising out of injury or accident during

the season.

Further, I will hold the City of Willowick harmless from any loss, claim, damage, or expense resulting

from such loss, claims, or damages which said may incur as a consequence of any injuries my child may

sustain during their participation in the Willowick Basketball program.

_____________________________________________

Parent’s Signature

Date

PARENTS CODE OF CONDUCT

--I will remember that children participate to have fun and that the game is for youths not adults.

--I will be a positive role model and encourage sportsmanship by showing respect and courtesy to all.

--I will not engage in any kind of unsportsmanlike conduct with officials, coaches, players or parents

such as booing, taunting or using negative or profane language or gestures.

--I will support coaches and officials working with my child.

--I will demand a sports environment that is free from drugs, tobacco and alcohol.

--I will teach my child that doing one’s best is more important than winning so that he/she will never feel

defeated by the outcome of a game or his/her performance.

--I will never ridicule or yell at my child or other participants for making a mistake or losing a

competition.

--I will praise my child for competing fairly and trying hard.

--I will ask my child to treat other players, coaches, fans and officials with respect.

--I understand that the Willowick Recreation Department has a No Tolerance Policy when there is a

failure to follow the code of conduct.

_____________________________________________

Parent’s Signature

Date

PROGRAM PHOTOS

We are seeking your permission to display youth basketball pictures that may have your child in them.

The Recreation Department uses photographs to display various recreation programs offered throughout

the City. These photos may be used in publications such as events and program flyers, on the City’s

website and also on Time Warner Channel 20 and AT&T U-verse Channel 99. Please sign below to

grant permission for use of program photos that may have your child in them.

_____________________________________________

Parent’s Signature

Date

Basketball Registration Form - City Of Willowick Page 2