Novi Ice Cats Squirt A
Tryout Player Information
Player Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Address (include city and zip code) *
Your answer
Parent 1 Name *
Your answer
Parent 2 Name *
Your answer
Parent 1 Phone Number *
Your answer
Parent 2 Phone Number *
Your answer
Parent 1 Email Address *
Your answer
Parent 2 Email Address *
Your answer
2017-18 Team *
Your answer
2017-18 Head Coach *
Your answer
Position Desired (check all that apply) *
Required
What other sports does your child play? Include level (house, rec, travel, etc.) *
Your answer
What is your purpose for attending this tryout? *
Required
Waiver of Liability
The member, applicant and/or participant releases and forever discharges, and covenants not to sue the Amateur Athletic Union of the U.S., Inc (“AAU”), AAU’s Districts (formerly known as Associations), the Host (of the Event), Local Organizing Entity, and if applicable owners and lessors of premises upon which the activity takes place, (the foregoing collectively, including without limitation, the AAU, hereinafter for convenience referred to as the « Releasees »), together with the respective administrators, members (including all categories), volunteers, participants, sponsors and advertisers, together with the insureds, and the parent related, affiliated, subsidiary companies, and affiliated committees, as well as the officers, directors, agents, attorneys, employees, representatives, successors and assigns of each of the Releasees entities, and any other party indemnified and held harmless by the AAU (each considered one of the Releasees herein) from all liability, claims, demands, losses, or damages of the Member, Applicant, and/or Participant, caused or alleged to be caused in whole or in part by the action, inaction or negligence of the Releasees or otherwise, including but not limited to negligent rescue operations, negligent security, travel and recreation operations and activities; and further agree that if despite this release and waiver of liability, assumption of risk, and indemnity policy, the Member, Applicant and/or Participant or anyone on behalf of the Member, Applicant and/or Participant, makes a claim against any of the Releasees, the Member, Applicant and/or Participant and/or his/her parent or guardian will indemnify, save and hold harmless each of the Releasees from any litigation expenses, attorney’s fees, loss, liability, damage, or cost which may be incurred as the result of such a claim. [Rev. 10/06]

The Member, Applicant and/or Participant understand that:
(a) athletic activities involve risks and dangers of serious bodily injury, including
permanent disability, paralysis, and death (« Risks »);
(b) these Risks and dangers may be caused by the Member, Applicant, and/or Participant’s own actions or inactions, the actions or inactions of others participating in the activity, the condition in which the activity takes place, or the negligence of
others;
(c) there may be other risks and social and economic losses either not known to the Member, Applicant, and/or Participant, or not readily foreseeable at this time; and the Member, Applicant, and/or Participant accepts and assumes all risks and all
responsibility for losses, costs, and damages the Member, Applicant, and/or Participant incurs as a result of participation in the activity.

I agree to the waiver of liability statement above. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Farmington Public Schools. Report Abuse - Terms of Service