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Basketball Club "Troyka" - 2008/2009 PLAYER REGISTRATION APPLICATION

Please use this form to enroll your child for 2008/2009 season of Troyka's Basketball program. If you require more information, please contact us at info@trojka.org

Child's last name:
Child's first name:
Child's birth date:
Street address:
City:
Postal code (X0X0X0):
E-Mail address:
Home phone (XXXYYYZZZZ):
Other phone (for emergencies):
Parent or guardian name(s):
Did your child play basketball before? Yes ( years)   No
Will your child need BC "Troyka" jersey? Yes   No
Please list any critical health conditions of importance for your child (allergies, heart problems, diabetes and other) or enter NONE:
Volunteer Requirement 
Parents of all players may be required to assist with the operation of the basketball program by volunteering their time during the course of the year. This may include score keeping, time keeping, gym set-up and clean-up, or concession stands. By registering your child in this program you are accepting this responsibility and requirement.

PARENT/GUARDIAN AUTHORIZATION

Basketball Club “Troyka” will arrange for insurance coverage with Basketball Ontario. Under this policy, coverage is provided for all activities and operations of Basketball Ontario, all leagues, clubs, officers, directors, instructors, referees, employees and sponsors who specifically request coverage. However, the policy excludes liability insurance coverage in which a player receives an injury in the ordinary course of the game. The Basketball Club “Troyka” recommends that all individuals associated with the Basketball Club “Troyka”, whether coach, player or otherwise, enquire directly with their own Home Owners Insurance Liability Coverage as to the applicability of same to their involvement in our organization and, further, to ensure that their coverage is adequate.
  1. I give my approval to my child's participation in Basketball Club “Troyka” basketball activities. I accept the risks for the injuries which may be suffered by my child and agree that the Club, its Directors, officers, members, coaches, servants or agents shall not be liable nor responsible in any manner whatsoever for any damages resulting from any injuries to my child, however caused including any act of negligence.
  2. I also agree to release and indemnify the Club, its Directors, officers, members, coaches, servants or agents and to hold them harmless with respect to any claims, actions and damages which may be brought against them by or on behalf of my child.
  3. I authorize that the Club Directors, officers, members, coaches, servants or agents to act for me accordingly using their best judgment in any emergency that requires medical attention.
  4. I confirm that my child is in healthy and has no any health limitations to participating in basketball exercises and games.
  5. In signing this application, I hereby acknowledge that I have read and understand the conditions and certify that the applicant is in good physical and mental health.

By entering "YES" in the field bellow you are agreeing with the above terms and conditions!
Enter "YES":  
Your IP address will be recorded with your request.