HPD Sports Player Roster

Player Roster Submission
Sport*
Team Name*
Appropriate names only.
League Day/Night
Adult Basketball League*
High School Basketball League*
Indoor Soccer League*
Volleyball League*
Adult Softball League*
Coach/Manager's Name*

First NameLast Name
Coach/Manager's Email Address*
example@example.com
How many players are on your roster?*
How many players are on your roster?*
How many players are on your Indoor Soccer roster?
Phone Number*
Coach/Manager's Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player 1: Name*

First NameLast Name
Player 1: Phone Number*
Please enter a valid phone number.
Player 1: Date of Birth*

MonthDayYear
Player 1: Email*
example@example.com
Player 1: Shirt Size*
Player 1: Shirt Number*
Player 1: Grade*
Player 2: Name*

First NameLast Name
Player 2: Phone Number*
Please enter a valid phone number.
Player 2: Date of Birth*

MonthDayYear
Player 2: Email*
example@example.com
Player 2: Shirt Size*
Player 2: Shirt Number*
Player 2: Grade*
Player 3: Name*

First NameLast Name
Player 3: Phone Number*
Please enter a valid phone number.
Player 3: Date of Birth*

MonthDayYear
Player 3: Email*
example@example.com
Player 3: Shirt Size*
Player 3: Shirt Number*
Player 3: Grade*
Player 4: Name*

First NameLast Name
Player 4: Phone Number*
Please enter a valid phone number.
Player 4: Date of Birth*

MonthDayYear
Player 4: Email*
example@example.com
Player 4: Shirt Size*
Player 4: Shirt Number*
Player 4: Grade*
Player 5: Name*

First NameLast Name
Player 5: Phone Number*
Please enter a valid phone number.
Player 5: Date of Birth*

MonthDayYear
Player 5: Email*
example@example.com
Player 5: Shirt Size*
Player 5: Shirt Number*
Player 5: Grade*
Player 6: Name*

First NameLast Name
Player 6: Phone Number*
Please enter a valid phone number.
Player 6: Date of Birth*

MonthDayYear
Player 6: Email*
example@example.com
Player 6: Shirt Size*
Player 6: Shirt Number*
Player 6: Grade*
Player 7: Name*

First NameLast Name
Player 7: Phone Number*
Please enter a valid phone number.
Player 7: Date of Birth*

MonthDayYear
Player 7: Email*
example@example.com
Player 7: Shirt Size*
Player 7: Shirt Number*
Player 7: Grade*
Player 8: Name*

First NameLast Name
Player 8: Phone Number*
Please enter a valid phone number.
Player 8: Date of Birth*

MonthDayYear
Player 8: Email*
example@example.com
Player 8: Shirt Size*
Player 8: Shirt Number*
Player 8: Grade*
Player 9: Name*

First NameLast Name
Player 9: Phone Number*
Please enter a valid phone number.
Player 9: Date of Birth*

MonthDayYear
Player 9: Email*
example@example.com
Player 9: Shirt Size*
Player 9: Shirt Number*
Player 9: Grade*
Player 10: Name*

First NameLast Name
Player 10: Phone Number*
Please enter a valid phone number.
Player 10: Date of Birth*

MonthDayYear
Player 10: Email*
example@example.com
Player 10: Shirt Size*
Player 10: Shirt Number*
Player 10: Grade*
Player 11: Name*

First NameLast Name
Player 11: Phone Number*
Please enter a valid phone number.
Player 11: Date of Birth*

MonthDayYear
Player 11: Email*
example@example.com
Player 11: Shirt Size*
Player 11: Shirt Number*
Player 11: Grade*
Player 12: Name*

First NameLast Name
Player 12: Phone Number*
Please enter a valid phone number.
Player 12: Date of Birth*

MonthDayYear
Player 12: Email*
example@example.com
Player 12: Shirt Size*
Player 12: Shirt Number*
Player 12: Grade*
Player 13: Name*

First NameLast Name
Player 13: Phone Number*
Please enter a valid phone number.
Player 13: Date of Birth*

MonthDayYear
Player 13: Email*
example@example.com
Player 13: Shirt Size*
Player 13: Shirt Number*
Player 13: Grade*
Player 14: Name*

First NameLast Name
Player 14: Phone Number*
Please enter a valid phone number.
Player 14: Date of Birth*

MonthDayYear
Player 14: Email*
example@example.com
Player 14: Shirt Size*
Player 14: Shirt Number*
Player 14: Grade*
Player 15: Name*

First NameLast Name
Player 15: Phone Number*
Please enter a valid phone number.
Player 15: Date of Birth*

MonthDayYear
Player 15: Email*
example@example.com
Player 15: Shirt Size*
Player 15: Shirt Number*
Player 15: Grade*
Huntley Park District Waiver & Release

The Huntley Park District is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard. The Huntley Park District continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However, participants and parents/guardians of minors registering for the below listed programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/programs.

You are soley responsible for determining if you or your minor child/ward are physically fit and/or skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.

WARNING OF RISK

Recreational activities/programs are intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when participating in any recreational activity/program. Understandably, not all hazards and dangers can be foreseen. Depending on the weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, un-sportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to indoor and outdoor recreational activities/programs exist. In this regard, it must be recognized that it is impossible for the Huntley Park District to guarantee absolute safety.

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK

Please read this form carefully. Be aware that in signing up and participating in the below/above identified programs/activities, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims child/ward may have (accrue to my child/ward or me) as a result of participating in these programs/activities against the Huntley Park district. This including its officials, agents, volunteers and employees (hereinafter collectively referred as “Huntley Park District”).

I do hereby fully release and forever discharge the Huntley Park District from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with these programs/activities.

I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering online or via fax, your online or facsimile signature shall substitute for and have the same legal effect as an original form signature.
MANAGER'S SIGNATURE*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Player Roster Submission