St. Robert/Waynesville Joint Recreation


Upload if you have the following
Yes
No
Player Information
Male
Female
/ /
Parent Information
Yes
No
Yes
No
Emergnecy Contact (other than parent)
Parent Support (Coaching postions must include volunteer coaching application)
Form must be signed by parent or Legal Guardian of player. Coaches must sign when completing form on self. I, the parent or legal guardian of the above registered player, a minor, agree that I and the player will abide by the rules and reguations of the Waynesville/St. Robert Sports, its affiliated organizations and sponsors ("WSR Parties"). In consideration of the player's participation in the Recreation Programs and activities of the WSR Parties (the program), I, for myself and the player and our respective heirs, administrators and successors, intending to be legally bound, hereby release and indemnify WSR Parties, the owners and operators of the facilites used for the Programs and their respective directors, officers, employees, agents and respenstiatives from and against all claims, liabilites, damages or causes of action arising out of or in connection with the player's participation in the Programs including, without limitation, players's transportaion to/from the program, which transportaiton is hereby authorized. I gran future permission to the WSR Parties the right to use the Player's name, picture and/or likeness in printed, broadcast and other materials concerning the Programs porvided such use is related to the player's status as a participant in the Program.
Participation Fee
First Player $35 Second Player $33 Third Player $31 Fourth Player $29 Add'l Player $29

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