P O Box 93
Gas City, IN 46933
www.olemissyouthsports.com
Player’s Name: ______Sex: _____ Birthdate: ______Grade______School Attending: ______
Address: ______City: ______Zip: ______Email: ______
To stay current on schedules and events
Phone: (Home) ______Phone: (Mother) ______Phone: (Father) ______
Parent/Guardian Name: ______
Shirt Size: Youth S M L Adult S Adult M Adult L Adult XL (please circle)
Short Size: Youth S M L Adult S Adult M Adult L Adult XL (please circle)
Check the sport you are signing up for: Basketball Girls 2nd-3rd grade_____ Basketball Girls 4th-5th grade _____
Did you play this sport last year? _____ If so, what team? ______Would you like to coach? ______If yes, shirt size______
Parental Waiver and Consent Form: Waiver must be signed*WARNING, LIABILITY, RELEASE AND ACKNOWLEDGEMENT AND ASSUMPTION OF RISKS
I understand that participation in this recreational program involves risk of injury. These risks include but are not limited to: collision with other participants, being hit by a ball, falling to the ground, scratches, bruises, etc. By signing this form I acknowledge all risks of injury and death and affirm that I am willing to assume responsibility should injury or death result from them. I also agree to follow all rules, standards (see below), and procedures of the program and to follow the reasonable instructions of the coaches and supervisors of the program. My parents/guardian and I agree, by signing up to play for Ole Miss Youth Sports, Inc., to support and abide by all rules that are set forth by the Ole Miss Youth Sports Board of Directors. We will respect the game officials and all coaches. We understand that if we do not abide by these rules, that we could be removed from the game and/or banned from the games for the rest of the season.
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Signature of Parent/s and/or Legal Guardian
PLAYERS’ STANDARDS
1. Learn the rules of the game and play by them.
2. Improve your skills by learning from your coaches and working with your teammates.
3. Be on time for practice and games and contact your coach if there is a problem.
4. Show proper respect for your coach, the parents, your teammates, and those on the other team.
5. Show proper respect for game officials; do not question their decisions.
6. Control your temper; do not engage in profane, threatening, or abusive language or conduct.
7. Be gracious in victory and defeat.
8. Clothes will not be ripped or display inappropriate messages, and sagging shorts are not allowed. / PARENTS’ STANDARDS
1. Encourage your child to play sports, but do not force them to play or place them under undue pressure.
2. Support your coach and team and assist in making your child’s experience a positive one.
3. Know the rules of the game and support game officials.
4. Do not communicate with game officials unless there is a safety concern or they address you first.
5. Avoid coaching or criticizing your child or any other player during the game or practice; limit your communication to expressions of support and encouragement.
6. Show your support for skillful play and good sportsmanship by all participants.
7. Do not engage in profane, threatening, or abusive language or conduct.
8. Communicate important information to your coach; address any problems with him/her first before involving any other officials of the sport or Ole Miss Youth Sports Inc.
Registration Fee: $45.00 Mail form and registration fee to PO Box 93 Gas City, IN 46933
For questions regarding Basketball, Kaley Barnes 765.669.0352
Office Use Only: Paid______Cash ______Check #______Initials______
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