Registration Form for Calvary Hoops


Participant's First Name:
Participant's Last Name:
Parent/Guardian First Name:
Parent/Guardian Last Name:
Street Address:
City:
State:
Zip Code:
Home Phone:    
Email Address:
Father's Cell Phone:    
Mother's Cell Phone:    
Parent's Place Of Employment:
In the event that there is a coach needed
to help coach your child's team,
would you be interested?:
Yes  No
Are you a member of a church?Yes  No
If yes, where?
Age:
Birthdate:    (Day)   (Year - ex: 2001)
Grade:
School:
Gender:Male  Female
Coach Request:
Team Player Request:
ABSOLUTE NO REQUEST FOR BOYS AND GIRLS 11-13**
Please indicate which league you would like your child to play (a child can play in a league that is older than his/her age, but not younger).
Uniform Size:
Person (other than parent) authorized
to act for parent in an emergency:
Emergency Contact Home Phone:
Emergency Contact Work Phone:


Release of All Claims
In consideration for my child being allowed to participate in activities sponsored by Calvary Baptist Church, I hereby release, discharge, indemnify, and agree to hold harmless Calvary Baptist Church, its directors, officers, employees, agents, and all volunteer personnel from any and all liability for personal injuries and/or damage(s), injury or illness that may be suffered by the above participant.

I / we further agree to indemnify and hold harmless Calvary Baptist Church, its directors, officers, employees, agents, and all volunteer personnel from any claim and/or damages it, or its agents are required to pay as a result of any injury or damage including reasonable attorney fees, litigation expenses, and court costs.
  Yes, I understand and agree to the Release of All Claims as set forth above.