Saturday Youth Basketball By completing this form the participant agrees to cooperate with the rules, regulations and recreation staff. Participant's Name*AgeGradeGenderMaleFemaleAddress Street Address City ZIP Code Parent/Guardian Name(s)Home PhoneWork PhoneEmail Emergency Contact other than Parent/Guardian*Emergency Contact Home Phone*Emergency Contact Work Phone*Shirt Type*AdultYouthAdult Shirt Size*S (34-36)M (38-40)L (42-44)XL (46-48)Youth Shirt Size*S( 8-10)M (12-14)L (14-16)Medical RestrictionsPlease list any medical restrictions:Participant Waiver of Responsibility*As a participant, or parent or guardian of a participant, permission is granted to participate in the City of Oberlin Recreation Division listed below. Participants understand and agree that they may be photographed and/or videotaped for promotion of City of Oberlin programs and waive any rights of compensation or ownership thereto. I, the undersigned, by participating in Saturday Youth Basketball sponsored by the City of Oberlin, understand that such activity has certain inherent risks that may result in injury that can be serious, life limiting, or life threatening. I, the undersigned, do hereby release the City of Oberlin, its elected officials, employees, agents and volunteers from any and all claims resulting from any and all injuries sustained while participating in Saturday Youth Basketball, except those arising out of the sole negligence of the City of Oberlin, its elected officials, employees, agents and volunteers. If participant is a minor (under the age of 18), a parent or legal guardian must sign this form.I have read and understand the terms and conditionsPhoneThis field is for validation purposes and should be left unchanged.
