Basketball Registration Form 2020

Basketball Registration Form

* Indicates required field

Players Full Name *

First

Last

Sex *

Male Female

Player's Date of Birth (format Month / Day / Year Example 01/01/2020) *

Player's grade at school *

Parent / Guardian Name *

First

Last

Phone Number *

Email *

Secondary Parent / Guardian Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Family shirts are available for an additional $15.00 each. Family shirts will be the same team color as your players. If you would like to purchase a family shirt please select yes and we will send you an email with a link to purchase. *

Yes No

I give my child permission to participate in the Boys & Girls Club of South Logan County Basketball League. I fully understand the physical nature of this athletic activity, and I will not hold the Boys & Girls Club of South Logan County responsible for any injury that may occur. Please type your name as consent. *

Date (format Month / Day / Year Example 01/01/2020) *

Thank you for allowing your child to participate in our basketball league. We emphasize having fun while learning and playing a sport which also provides an excellent level of physical activity.

For caring adults who are willing to lead by positive example and enjoy working with children, we offer opportunities to volunteer as coaches, assistants, line judges, field setup and takedown, and concessions.

COVID-19 Activity Waiver

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and has significant person-to-person spread. As a result, federal, state, and local governments and federal and state health agencies have recommended social distancing measures and have, in many locations, required ongoing prohibitions on the congregation of groups of people of various sizes.

Boys & Girls Clubs of South Logan County (“Club”) has put in place preventative measures to reduce the spread of COVID-19. These include, but are not limited to, social distancing, wellness monitoring, increased sterilization, required hand-washing, etc. However, the Club cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending the Club could increase your risk and your child(ren)’s risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Club, or its activities or programs and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Club may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Club employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the Club or participation in Club programming (“Claims”) or activities. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Club, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Club, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Club program.

Please type your name as your signature and consent to the COVID-19 Activity Waiver *

First

Last

Date (FORMAT MONTH/DAY/YEAR EXAMPLE 01/01/2020) *

Parents / Guardians:
Due to COVID-19 a few things will be different this year. We look forward to another fun and successful Basketball season, so we all must work together to keep our Club safe for the players, guests, coaches, Club members and staff. Please review each item and initial to confirm your understanding and consent.

Practices and games will be spaced out to prevent overlap and reduce the number of people in the GYM at one time. We ask that you do not arrive more than 15 minutes early to any of your players practices or games.

parent / guardian initial *

Everyone entering the building must wear a mask. Spectators/guests must wear a mask if they are closer than 6 feet to another person. Players will not be expected to wear a mask while on the court, but will need to wear one on the sidelines. The Club will have a limited supply of paper masks at a cost of $0.75 each if needed.

parent / guardian initial *

Our bleachers seats have been spaced out with Blue Dots and spectators/guests will need to stay spaced out during games. We will only be able to support 50 spectators/guests at each game. Teams will receive 25 tickets to each game with each player receiving a minimum of 2 tickets. If you do not plan to use your tickets you may give them back to the coach so that other players may invite more spectators/guests.

parent / guardian initial *

Non Club Members will not be allowed into Club program areas and must remain in the Gym at all times.

parent / guardian initial *

IF THERE IS ANY ADDITIONAL INFORMATION YOU WOULD LIKE US TO KNOW PLEASE PROVIDE HERE *

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