PANTHER BEGINNER HOUSE LEAGUE 2017/18

GYM LOCATION

Masters Academy Gym

4414 CROWCHILD TRAIL SW MAP

PANTHERS BEGINNERS HOUSE LEAGUE

Boys and Girls ages 8-12 as of September 1, 2017

Monday and Wednesday from 6:30pm 8:00pm House League Games Saturdays (TBD)

FULL YEAR 2017/18 FALL YEAR 2017

COSTS: $1100.00 COSTS $450.00 SEPTEMBER 18, 2017 JUNE 16, 2018 SEPT 18, 2017 NOV 18, 2017

REGISTRATION

SPACE IS LIMITED REGISTER NOW

Email: anita.hegwood@cydcbasketball.com to reserve a spot Payment can be made online or

cash/cheque can be paid on 1st

day of registration or mail to:

CYDC PANTHERS SUITE 214

315, 5155 130 AVE SE CALGARY AB T2Z 0N3

Deadline - SEPTEMBER 1ST

Please make cheque payable to: CYDC PANTHERS

Includes: Reversible Jersey & Shorts

mailto:anita.hegwood@cydcbasketball.comhttp://www.itsportsnet.com/league.php?scriptName=MEMBERLOGIN&leagueID=16732

Player Information

Players Name

First Name Last Name

Parents Names First Name Last Name

Address City

Postal Code email

Phone (h) (w) (c)

School Grade

DOB Day/Month/Year

Age Height

Alberta Health Care Number Gender (circle one) M F

Medical Consent

I, the undersigned, give CYDC PANTHERS my permission to seek emergency medical treatment for the above named player in the event that he/she is injured while at or participating in any event or activity through CYDC.

Physicians Name Phone

Emergency Contact Phone

Parent/Guardian Signature Date

REGISTRATION

Beginners House League FULL Year $1100.00 SEPT 18, 2017 - JUNE 18, 2018

Beginners House League FALL Year $ 450.00 SEPT 18, 2017 - NOV 18, 2017

Assumption of Risks and Waiver of Liability

I, [parent name], am the parent or legal guardian of the Player,

_ _ [child name], who will be participating in events and activities

through CYDC PANTHERS, including basketball practices and games and other activities (which events and activities are

collectively referred to in this document as the Activities). I am aware that the Activities involve many RISKS AND DANGERS.

I understand that known and unknown risks and dangers associated with the Players participation in the Activities may result

in personal injury, death, property damage and/or loss. I understand as well that personal injury, death, property damage

and/or loss may be caused or contributed to by the NEGLIGENCE OR CARELESSNESS of others.

In consideration of CYDC allowing the Player to participate in the Activities, I agree, on behalf of the Player and myself and

any one that may claim through the Player or myself, that:

1. I ASSUME AND ACCEPT, WITHOUT LIMITATION, ALL RISKS AND DANGERS associated with the Players participation

in the Activities.

2. I ASSUME FULL RESPONSIBILITY for understanding and following the rules and safe practices associated with the

Activities and for the Players personal safety.

3. I WAIVE ANY AND ALL CLAIMS against CYDC and its agents, representatives, coaches, players and volunteers (together

with CYDC collectively referred to in this document as CYDC PANTHERS) arising from or connected with, directly or

indirectly, the Players presence at, or participation in, the Activities.

4. I RELEASE CYDC PANTHERS from any and all liability for any loss, damage, injury or expense that the Player or I may

suffer or incur by reason of the Players presence at, or participation in, the Activities, due to any cause whatsoever,

INCLUDING NEGLIGENCE ON THE PART OF CYDC PANTHERS, OR OTHER PARTICIPANTS, OR ANYONE ELSE.

I HAVE READ THIS DOCUMENT THOROUGHLY.

I UNDERSTAND THAT, BY SIGNING THIS DOCUMENT, I GIVE UP IMPORTANT LEGAL RIGHTS, INCLUDING THE RIGHT TO

SUE, ON BEHALF OF MYSELF AND THE PLAYER.

I UNDERSTAND THAT CYDC PANTHERS IS RELYING ON MY FULL RELEASE AND WAIVER OF ALL CLAIMS WHEN ACCEPTING

THE PLAYERS PARTICIPATION IN THE ACTIVITIES.

*I UNDERSTAND THAT PLAYERS CAN ONLY RECEIVE A REFUND OR VOUCHER IF A SEASON ENDING INJURY OCCURS DURING A CYDC ACTIVITY WITH A NOTE ACCOMPANIED BY A DOCTOR.

Parent/Guardian Signature Date

CYDC Image and Publication Consent and Release Form Page 1 of 1

CYDC Panthers Basketball CYDC Image and Publication Consent and Release Form

I, ______________________________________________ [parent name], am the parent or legal guardian of

the Player, _________________________________________________ [child name], hereby: (i) grant

permission to CYDC representatives to take and use photographs and/or digital images of my child for use in

news releases and/or printed publications or materials, electronic publications, or websites; (ii) agree that my

childs name and identity may be revealed in descriptive text or commentary in connection with the image(s);

(iii) authorize the use of these images without compensation to me; (iv) agree that all negatives, prints, and

digital reproductions of such photographs and/or digital images shall be the property of CYDC; and (v) agree to

the publication of any player profile prepared for my child in any printed publications or materials, electronic

publications or websites.

Date ____________________________________

Parent/Guardian Name ______________________________________________________________________

Parent/Guardian Signature ___________________________________________________________________

CYDC BHL 2017 FALL-FULL June 15, 2017player registration form - FALL -FULL BHL 2017 Program JUNE 15, 2017photo consent and release form - amended form June 15,2017

Players Name: Parents Names: Address: City: Postal Code: email: Phone h: w: c: School: Grade: DOB: Age: Height: Alberta Health Care Number: Physicians Name: Phone: Emergency Contact: Phone_2: Check Box1: Check Box2: I 1: I 2: Date_2: I: Player: Date: ParentGuardian Name: