Discovery Sports Fall Team Play

Discovery Sports Fall Team Registration
Please complete the form below to register for Discovery Sport's Fall Season.

If you would like to sign up as a team, everyone on your team must input the same team code when registering (This can be any phrase decided on by that team).

If you would like to be placed on a team with a friend, please indicate so in the appropriate field.

If you have no team code or no friend you would like to play with, we will asign a team for you.

If your team already has a coach, please indicate so in the correct field. If your team does not have a coach, we will provide one for you.

Note that team fees vary based on what level of team you select.

Development - $120
Competitive - $200
Youth Name*

First NameLast Name
Type of Team*
Gender*
Entering Grade*
Position*
Jersey Size*
Desired Jersey Number*
Guardian 1 Name*

First NameLast Name
Guardian 2 Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Team Code
Please list any friends you would like to play with
Will you be providing a coach?*
If yes, please list the name of coach

Please rank your current basketball ability*

	1	2	3	4	5	6	7	8	9	10

1 is Poor, 10 is Best

Discovery Sports
WAIVER OF LIABILITY, MEDICAL RELEASE, AND INDEMNIFICATION AGREEMENT

I hereby voluntarily permit my child, {youthName} , to participate in Discovery Sport's Fall Team Play Program.

I UNDERSTAND AND FULLY ACCEPT THAT THERE ARE RISKS INVOLVED IN SPORTS, AND THAT ACCIDENTS AND INJURIES ARE COMMON AND ARE ORDINARY OCCURRENCES OF SPORTS. I HEREBY AGREE TO ACCEPT ANY AND ALL RISKS OF INJURY OR DEATH, AND VERYIFY THIS STATEMENT BY signing my initials below:
Initials*
As consideration for being permitted by Discovery Ed LLC to participate in this activity, I hereby release and hold harmless The Discovery ED LLC. staff, volunteers, designated coaches, and program officials and supervisors from all liability, and from all actions or claims that I or my child now or hereafter have for damage or injury to my child, or to any person or property, resulting from the negligence or other acts of any employees or volunteers in connection with my child’s participation. I further agree that this waiver, release and assumption of risks are to be binding on the heirs and assigns of the undersigned.

I further agree to indemnify and to hold Discovery ED LLC (its officers, employees, agents and volunteers) free and harmless from any loss, liability, damage, cost or expense which they may incur as a result of any injury and/or property damage that I or my child may cause or sustain while participating in this activity.

In case of a medical emergency, I hereby give permission to Discovery Ed LLC and Volunteers to order treatment for my child, including any necessary medical treatment and x-rays. I also hereby give permission to Discovery ED LLC. and Volunteers to disclose the information contained on the Emergency Medical Card to medical personnel. I understand that an attempt will be made to reach me by phone when a diagnosis is completed. I agree to pay all medical, hospital, or other expenses which my child or I may incur as a result of such treatment.

Discovery Ed LLC does not disclose your nonpublic personal medical and financial information, except as required or permitted by law.

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN ME AND Discovery Ed LLC AND SIGN IT OF MY
OWN FREE WILL.
Signature*

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Discovery Sports Fall Team Registration