Friona Youth Sports - Registration 2021
The Friona Youth Sports Basketball League is for children grades entering 1st through 6th grade. Registration cost will be $20 per child, $35 for two, $50 for three, and $65 for four or more children (same immediate family). You can make checks payable to Friona Youth Sports. This includes a t-shirt. Registration forms need to be returned to each school or the day of evaluation. There will be a limit of no more than 10 per team and 2 coaches with no substitutions after registrations close. Must be a student of a 3A, 2A, 1A school and will have to provide proof of residency if requested. The registration deadline is Thursday, December 16th. Practice will begin shortly after as determined by the coach.
(PLEASE FILL A SEPARATE FORM FOR EACH CHILD)
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Child's Name *
Child's Age *
Child's Grade *
Child's Gender *
Child's Height *
Child's Weight *
Child's Shirt Size *
Parent's Name 1 *
Parent's Cell Phone Number 1 *
Parent's Name 2 *
Parent's Cell Phone Number 2 *
Address *
Has this child played Basketball before? *
If yes, what town or league? *
How many years *
Parent involvement is important to the success of a small, local league. Please choose at least one volunteer opportunity option. *
Required
ONLY FILL OUT IF YOU WILL HELP COACH
Coach's Name
Coach's Shirt Size
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Assistant Coach's Name
Assistant Coach's Shirt Size
Clear selection
INSURANCE WAIVER
I have insurance that covers my child to participate in the Friona Youth Sports Basketball program. Insurance Company Name _________________________________________________. If I do not have insurance for my child, nor do I wish to obtain insurance for my child, I know that it will be my full responsibility for any medical expenses incurred. *
PARENTAL CONSENT AND WAIVER OF LIABILITY
I consent to, and give permission for, my child to participate in the Friona Youth Sports Basketball Program. I have no knowledge of any physical impairment that would be affected by my child’s participation in the Basketball program. I further agree to waive all liability of the Friona Youth Sports Basketball Program, its representatives, Managers, team coaches and any other participant, for any accident, injury, illness or other mishap which might befall the individual named on this registration while traveling to or from, or during their participation in the Basketball program, whether or not such liability, claim, damage, loss or expense is caused in part by the negligence of any person, including any negligence by or on behalf of the Basketball Program, its agents and specifically including any defects in the condition of the property of the Basketball Program or the condition of its maintenance.
Consent for emergency medical care *
PARENTAL CONSENT OF SOCIAL MEDIA
Friona Youth Sports is pleased to participate in social media outlets such as our Website, Facebook, Instagram, YouTube, Google+, etc. Through these venues, we share participants pictures, season updates, new contests, and other fun and helpful information updates that may benefit our participants. With the expressed permission of our participant’s parents, we are pleased to share posts welcoming new participants to our program, congratulating participants, and posting photos of our participants in action.
Consent for social media *
NO REFUNDS AFTER DECEMBER 16th. REFUNDS BEFORE THAT DATE WILL BE MINUS SHIRT COST. *
Does this child have any other siblings playing Basketball? *
If so, please list the names and ages below. (If not applicable, please put none.) *
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Friona Youth Sports cannot guarantee that you will not become infected with COVID-19. Further, participation could increase your risk of contracting COVID-19. Please complete a separate waiver for each child for each sport of participation.
This waiver is for *
Required
READ CAREFULLY BEFORE SIGNING – SIGN EACH PARAGRAPH
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participation; 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 Friona Youth Sports activities and events may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Friona Youth Sports Board Members, volunteers, coaches, program participants and their families. *
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death, illness, damage, loss, claim, liability, or expense), of any kind, that I may experience or incur in connection with my participation with Friona Youth Sports. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Friona Youth Sports, its board members, volunteers, coaches, 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 Friona Youth Sports, its board members, volunteers, coaches, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation at Friona Youth Sports. *
I represent that I have adequate insurance to cover any injury or illness I may suffer or cause while participating in this activity, or else I agree to bear the costs of such injury or illness myself. I further represent that I have no medical or physical condition which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of – all risks that may be created, directly or indirectly, by any such condition. *
By signing this document, I agree that if I am exposed or infected by COVID-19 during my participation in this activity, then I may be found by a court of law to have waived my right to maintain a lawsuit against the parties being released on the basis of any claim for negligence. *
I have had sufficient time to read this entire document and, should I choose to do so, consult with legal counsel prior to signing. I have read and understood this document and I agree to be bound by its terms. *
I have signed a separate general waiver of liability connected to my participation with Friona Youth Sports during the initial registration process and I agree that the terms of that waiver are wholly incorporated into this document and that the terms of this document are incorporated into the separate general waiver. *
In consideration of _________________________________ (PRINT minor’s names) being permitted to participate in this activity, I further agree to indemnify and hold harmless Releases from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor. *
Parent's SIGNATURE *
Date *
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TO PAY
In order to pay online please click on the following link: https://www.frionayouthsports.org/registration.html
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