TYLER INDOOR SPORTS YOUTH REGISTRATION ROSTER

TEAM NAME______________________________ COACH ____________________________ CONTACT PHONE_______________________

Circle Type of Team: Boy’s Girl’s Coed

CIRCLE ONE: U-5 U-6 U-7 U-8 U-9 U-10 U-11 U-12 U-13 U-14 U-15 U-16 U-17

I, THE PLAYER, & PARENT UNDERSTAND I MUST HAVE A I.D. CARD BEFORE PLAYING MY FIRST GAME AND LEAGUE FEES ARE DUE AT TIME OF REGISTRATION and COPY OF BIRTH CERTIFCATE IF NOT ALREADY ON FILE. PARENT SIGNATURE IS REQUIRED BELOW.

I, the undersigned, acknowledge and agree that attending or participating in sports may be hazardous and may result in injury. I further agree that I assume all risks of injury for myself or child and anyone who comes with me to the premises incurred or suffered while upon the premises or as a result of using the facilities or equip. therein. I further expressly agree to release Tyler Indoor Sports, its owners, employees, agents, successors, assigns, affiliates & anyone else associated with Tyler Indoor Sports from any & all claims, demands or damages whatsoever, whether developed or undeveloped, known or unknown, anticipated or unanticipated, have, now or in the future, including, but not limited to any and all claims, demands or damages for negligence, personal injury & or loss, theft or destruction of personal property. It is my intention that this release be as broad as Texas law allows releases of this sort to be. I understand that, without this document, the cost of participation would necessarily be greater, and I also acknowledge that I may obtain insurance to protect myself if I so choose.

YOUTH’S NAME	YOUTH’S BIRTHDATE	CURRENT AGE	PHONE	PARENT’S SIGN HERE
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Employee Who Took Deposit_____________________ Deposit Amount$_______ Paid by: Cash or Visa or Mastercard (Circle one)

Person’s Name who Paid: ___________________________________________ Today’s Date:________________ Receipt Issued______