2019 Co-Ed Volleyball Registration
First week of the season: January 8, 2019
Shep-Lauter Gymnasium at the Oak Ridge Civic Center
Contact us at (865) 425-3440 or mreece@oakridgetn.gov
First name *
Your answer
Last name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
E-mail address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Are you at least 18 years of age? (Teenagers are eligible to play, but must submit additional documents.) *
Required
Team (PLEASE SELECT ONE) *
Team not listed above. Please let us know which team you intend to play for:
Your answer
Do you want to be added to the notification list for game weather delays? *
Required
I, whose name is listed on the same line with my signature below, fully understand the risk of injury arising from my or my child's participation in volleyball. I hereby assume all risks and hazards incidental to such participation, including transportation to and from all activities; and do hereby waive, release, absolve, and indemnify and agree to hold harmless the City of Oak Ridge, organizers, sponsors, supervisors, and participants, for any claim or injury or liability that may hereafter arise as a result of participating in volleyball. I make this agreement on behalf of myself, my heirs, and my estate. I also grant permission to managing and/or coaching personnel or other department representatives to authorize and obtain medical care and treatment from any licensed physician, hospital or medical clinic, including minor surgery, deemed necessary by a duly licensed physician should I become ill or injured while participating in volleyball. For youth sports (under age 18), a parent or guardian’s signature is required for participation. *
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