Christ the King - HEC Sports - (Ann Arbor, MI)

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Participant Registration

PARTICIPANT REGISTRATION

* Sport (--Select a Sport--):

* Player First Name:

* Last Name:

* Birthdate:

* Gender:

* Grade:

* Shirt/Jersey/Uniform Size:

* Street:

* City:

* State:

* Zip Code:

Home Phone:

Player Email:

Player Eligibility Status. Player is...

Registered CTK Parishioner

* Homeschooled:

Yes

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

* Cell Phone:

Is there any particular way you would like to volunteer for our program? (ex: coach, administration, scheduler, photographer, etc.):

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Cell Phone:

Is there any particular way you would like to volunteer for our program? (ex: coach, administration, scheduler, photographer, etc.):

MEDICAL/EMERGENCY CONTACT INFORMATION (This will only be shared with appropriate CTK Staff)

Allergies, Medical Conditions, Religious Requirements that affect medical treatment:

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Insurance Company Phone #:

Policy # / Group #:

CONSENT and WAIVER INFORMATION

I consent to my child(ren)'s participation in the CTK HEC Athletics Program. I understand that no athletic program, including this one, is without risk. In particular, I understand that playing sports can result in injury. Nevertheless, by registering and participating in the CTK HEC Athletics Program, I agree to assume all liability for the risk of injury, illness or death on account of myself and my dependent's involvement in the CTK HEC Athletics Program whether caused by negligence of the organizers or another person on the premises or at the sponsored activity.

I/we agree with the above consent and waiver for the CTK HEC Athletics Program *

We have read the CTK HEC Athletics Program Code of Conduct. We agree to follow these guidelines in our participation in all CTK HEC Athletic activities:

Playing Time Guidelines
Player Code of Conduct
Parent/Guardians and Spectator Conduct

Code of Conduct and Playing Time Guidelines can be found under the Handouts menu on the left or by visiting:

http://my.llfiles.com/00301364/Code_Of_Conduct_Playing_Time_Guidelines.pdf

I/we agree with the above Playing Time and Code of Conduct Guidelines *

Homeschooled

* indicates required fields