Circle Of Champions Team Registration
Email address *
Team Name *
Your answer
Coach *
Your answer
Coach's Email *
Your answer
Coaches Phone Number *
Your answer
Grade *
Boys or Girls team? (Choose one) *
Your answer
Waiver : Waiver & Consents: On behalf of my minor child, I hereby apply for his/her participation in The League to accept this application. I hereby warrant that both myself and my child are familiar with the risks associated with participation in an active sport such as basketball; furthermore, I warrant that my child is in good health, has no condition or defect which would interfere with his/her participation. In short, my child is active, in good health, and anxious to play basketball. I do hereby agree and consent to my child's participation in The League during work-outs, and also assume all risks and hazards which are incidental to the conduct of the activities. I hereby release, absolve, indemnify and hold harmless The League., its officers, directors, employees, agents and any of them, their sponsors, organizers, and supervisors of any and all liability or damage, injury, or expense of any kind arising out of, or connected with, my child's participation in The League. I am hereby informed that all rostered players are covered by an insurance policy in case of accident or medical emergency while participating in an activity sponsored by The League. I further understand that in case of a medical emergency, my own personal medical plan, if I have one, will be used prior to the insurance provided through The League. If I do not have a personal plan, the above insurance will take effect immediately. Participation in competitive athletics may result in serious injury. It is impossible to TOTALLY eliminate such occurrences from competitive sports. Players can reduce the risk of serious injury by obeying safety rules, following a proper conditioning program, and maintaining their equipment properly. EVEN IF ALL THESE REQUIREMENTS ARE MET, AND EVEN IF THE ATHLETE IS IN EXCELLENT PHYSICAL CONDITION WITH PERFECT EQUIPMENT, SERIOUS ACCIDENTS MAY STILL OCCUR. AS A CONDITION OF PARTICIPATION IN The League basketball program. If the above named person needs emergency medical treatment and neither the parent nor the family physician can be contacted, consent is hereby granted for such emergency treatment as may be considered necessary in the opinion of the attending physician. I ACKNOWLEDGE THAT I READ THIS CONSENT FORM AND KNOWINGLY, ON BEHALF OF MY CHILD, ASSUME ALL THE RISKS ASSOCIATED WITH PARTICIPATING IN ANY WAY IN The League Basketball Program.* All refunds will be granted only with the approval of The League Board. To apply for a refund, email us.League Evaluations for 3rd-8th Grade are mandatory! If you do not come to one of the evaluation opportunities you will be placed on the waiting list with no refund! In the event your child cannot be placed on a team after attending evaluations, a full refund will be provided.Refund Procedure: 1. Email your refund request to 2. Include your name, your child’s name, grade and reason for refund.Zero Tolerance Policy: All individuals responsible for a team and all spectators shall support the referees. Failure to do so will undermine the referee’s authority and has the potential of creating a hostile environment for the players, the referees, and all the other participants and spectators.Consequently, The League has adopted and modified the following rules: 1. No one, except the players/coaches, is to speak to the referee during or after the game. Exceptions: Coaches may ask questions before the game and time-outs, call for substitutions and point out emergencies during the game, or respond to the referees if addressed. 2. No disputing calls, remarks to the referees, yelling/harassment towards the referees. 3. Violators may be ejected from the court and are subject to disciplinary action by The League Sportsmanship Review Committee.If coaches or spectators have questions regarding particular calls, rules, or a referee, or wish to give feedback regarding a referee, please contact referee’s coordinator for the game in question, or contact the program director.Media Release Policy: As a member of The League's basketball programs, I hereby authorize and consent to the use of my child's name and visual image by the State of Utah for appropriate purposes, including but not limited to: still photography, video, social media, electronic and print publications, marketing and websites. I give this consent with no claim for payment.I HAVE READ AND FULLY UNDERSTAND THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY AND ACKNOWLEDGE THAT I HAVE WAIVED CERTAIN RIGHTS BY DIGITALLY SIGNING IT THROUGH THE ONLINE REGISTRATION FORM *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Club Utah Basketball Academy. Report Abuse - Terms of Service