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3 On 3 Basketball Registration

This document contains a player registration form for a 3 on 3 basketball tournament being held on September 11, 2016 in Elwood, Illinois. It requires each player to provide their name, age, contact information, and signature waiving liability for injuries that may occur during participation. Teams of up to 4 players between grades 4-8 can register by returning the individual registration forms to the village hall or pavilion by September 10.

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326 views2 pages

3 On 3 Basketball Registration

This document contains a player registration form for a 3 on 3 basketball tournament being held on September 11, 2016 in Elwood, Illinois. It requires each player to provide their name, age, contact information, and signature waiving liability for injuries that may occur during participation. Teams of up to 4 players between grades 4-8 can register by returning the individual registration forms to the village hall or pavilion by September 10.

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api-355693788
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ECD 3 ON 3 TEAM NAME:

LIST ALL TEAM MEMBERS BELOW


1.
2.
3.
4.
AUGUST 27, 2016

PLAYER REGISTRATION FORM


INDIVIDUAL PLAYER REGISTRATION FORM REQUIRED FOR EVERY PLAYER

PLAYER NAME: AGE:

PHONE:

ADDRESS:

CITY: STATE: ZIP CODE:

WAIVER AND RELEASE OF ALL LIABILITIES ARISING OUT OF PARTICIPATION IN RECREATION PROGRAMS
OF THE VILLAGE OF ELWOOD PARK AND RECREATION DEPARTMENT

The undersigned, being under no legal disability, and in consideration of the opportunity to participate in recreation
and/or athletic activities conducted by the Village of Elwood Park and/or its Recreations Department, agrees as
follows:
I hereby release, remise and discharge the Village of Elwood, its Park and Recreation Department, the
Facility Owner and/or Host, their officers, servants, agents and employees from all injuries, losses, and damages to
my person that shall have been caused or may at any time arise as the result of injuries, losses, and damages to my
person that shall have been caused or may at any time arise as the result of my participation in such activities. It is
my intention to completely, absolutely and finally release said Village of Elwood, its Park and Recreation
Department and the Facility Owner and/or Host, the aforesaid persons from any and all liability arising wholly or
partially from the cause aforesaid.
I do further state and certify that I am in good physical condition, and physically and emotionally capable
of participation in such recreation/athletic programs. As a participant in the program, I recognize and acknowledge
that there are certain risks of physical injury, and agree to assume the full risk of any injuries, including death,
damages or losses which I may sustain as a result of participating in any manner, in any and all activities connected
with or associated with such program.
I agree to waive and relinquish any and all claims that I may have against the Village of Elwood, its Park
and Recreation Department, the Facility Owner and/or Host, their officers, servants, agents or employees as a result
of participating in the program.
The term I, me and my refer to parents or guardians as well as participants in the program, I further
understand and agree that terms such as participation, programs and activities referred to in this Waiver and
Release, include all exercises and physical movements of any nature while I am participating in the program.
I understand the nature of these program(s) for which I am registering and have read and fully understand
this Waiver.

SIGNATURE ________________________________________ DATE ____/____/________


ECD 3 ON 3

SEPTEMBER 11, 2016


1:00 P.M.
LLOYD ERICKSON PARK COURTS
801 N. CHICAGO AVE.

TEAMS SIZE: UP TO 4 PLAYERS MAKE YOUR OWN TEAMS!


YOUTH: GRADES 4-8

RETURN REGISTRATION FORM


Elwood Village Hall
401 E. Mississippi Ave.
OR
Lloyd Erickson Pavilion
Friday Sept. 9 of Sat. Sept. 10

All teams must register for the Elwood Community Days 3 on 3


Basketball Tournament by 7:00 pm on Saturday, September 10.
Individual registration form required for every player. Game times,
categories and brackets are dependent upon team enrollment.

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