Jammers Basketball Registration

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Registration, Consent and Release from Liability Form
(Must be completed by parents/guardians)


Mandatory Skills Assessment - May 16th from 9:00 AM - 12:00 PM (PGMS)
Regular Season Games - Saturdays between June 6, 2020 and July 18, 2020
Practices are held at the discretion of coaches

Players must be between the ages of 10 - 13 as of June 6, 2020

If your child will be on vacation or plans on being out of the area for more than two (2) weeks during the summer; please do not sign up. Many children will be on the waiting list to participate. The skills assessment is mandatory for all players. Please ensure that all contact information is accurate as this is the information that will be provided to coaches to contact you. If you are signing up siblings that need to play on the same team, please ensure that you include the siblings names on both forms where indicated.

Please correct the field(s) marked in red below:

Child's Information
Child's Information
Parent/Guardian Information
Parent/Guardian Information

Consent and Release from Liability 

Parental/Guardian Consent, Acknowledgement and Release

I hereby give consent for child/ward to participate in the following summer youth activities program. I know of and acknowledge that my child/ward knows of the risks involved in athletic participation, understands that serious injury, and even death is possible in such participation and chooses to accept any and all responsibility for his/her safety and welfare while participating in athletics. With full understanding of the risks involved, I release and hold harmless the league, the teams against which it competes, the contest officials the Punta Gorda Police Department, in both personal and individual capacities and any and all responsibility and liability for any injury or claim resulting from such athletic participation and agree to take no legal action against the aforementioned individuals and entities because of any accident or mishap involving the athletic participation of my child/ward. I further authorize emergency medical treatment for my child/ward should the need arise for such treatment while my child/ward is under the supervision of the league. Furthermore, I grant the released parties the right to photograph and/or videotape my child/ward, and further to use said child’s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein.

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