Players Name *

First Name

Last Name

Phone

(###)

###

####

Players Grade

6th

7th

8th

Team you're trying out for

You can only tryout for one team

Varsity

JV

6th Grade Team

I have read and agree to everything on the disclaimer *

I hereby give my son/daughter permission to participate in all activities associated with the Boys & Girls Clubs of Carlsbad. I understand that the Boys & Girls Clubs of Carlsbad, its directors, officers, employees, volunteers, agents, assigns and representatives are not responsible for any personal injury to my child or loss of property. I also understand that all programs offered by the Boys & Girls Clubs of Carlsbad are “drop-in” in nature and that the Boys & Girls Clubs of Carlsbad is not a licensed child care provider as defined in any city, county, state, or federal code. Accordingly, I fully understand that my son/daughter has the right to come and go from the facilities of the Boys & Girls Clubs of Carlsbad and that personnel, volunteers, agents and representatives of the Boys & Girls Clubs of Carlsbad cannot prevent my son/daughter from leaving any facilities of the Boys & Girls Clubs of Carlsbad at any time. I hereby give permission for personnel, volunteers, representatives and agents of the Boys & Girls Clubs of Carlsbad to administer first aid and to arrange for the transportation and treatment of my child by paramedics, and ambulance team or licensed physicians. I also release the Boys & Girls Clubs of Carlsbad, its directors, officers, employees, volunteers, agents, assigns and representatives from any and all kinds of claims, costs, expanse, actions, causes of action and liability of any kind or nature whatsoever that may arise, whether now or in the future against the Boys & Girls Clubs of Carlsbad, its directors, officers, employees, volunteers, agents, assigns or representatives. I hereby consent to the reproduction and use of photographs/video footage of my child for advertising, educational and/or publicity in any and all publications, Web sites and publicity materials, without limitations or reservation as deemed appropriate by the organization. I also consent to any testimony or text written about the my child that may accompany said photographs or stand-alone in any and all publications, advertisements and publicity materials, without limitation or reservation as deemed appropriate by the organization.

Yes