Dallas Parochial League / St. Monica Bearcats

Dallas Parochial League / St. Monica Bearcats 2017 Basketball Registration

Child’s name: ______Grade: ______

Parent name: ______

Phone number:______

Parent Email:______

An athletic fee of $85.00 will be charged to athlete’s FACTS account on 11/7/16 Evaluation Schedule: 5thGrade Boys: November 7, 9 at 6 p.m. meet in A9 6th Grade Boys: November 7, 9 at 7 p.m. meet in A9 5th Grade Girls: November 8, 14 at 6 p.m. meet in A9 6th Grade Girls: November 8, 14 at 7 p.m. meet in A9 7thGrade Boys: November 7, 9 at 6 p.m. meet in A10 8th Grade Boys: November 7, 9 at 7 p.m. meet in A10 7th Grade Girls: November 8, 14 at 6 p.m. meet in A10 8th Grade Girls: November 8, 14 at 7 p.m. meet in A10 Coaches’ Meeting: Varsity Teams: November 15 at 6 p.m. in room A10 Junior Varsity Teams: November 16 at 6 p.m. in room A10 (All coaches must attend the DPL Play Like A Champion and have a Safe Environment Badge to coach in January) Team Announcement: Varsity: November 15 late Junior Varsity: November 16 late Practice Schedule: begins November 16/17 Pre-season Tournaments : December 1 – December 23 Sport Season: Starts January 7

Registration must be completed no later than 8:00 am, Monday, November 7 th. Completed forms may be returned to your homeroom teacher or to Mr. Hood. Registration forms received after 11/7 will be charged at a fee of $105 and must be approved by the Athletic Director.

By signing below, I am granting permission for by child to participate in the above listed sport. I understand that my child will not be able to participate in the sport unless he/she meets all requirements out lined the Family/School Handbook and has submitted a current physical examination completed within the last year from the registration date. Failure to return equipment at season end will result in the loss of privilege to participate in future DPL sponsored sports. Athletes may or may not be photographed during DPL events. These photos may or may not be posted on the DPL website. If you do not want your athlete’s picture taken, please contact the Athletic Director.

______Parent Signature St. Monica Athletics 2017 PARENT CONSENT SLIP

I do hereby consent and authorize ______(name of student/participant) to participate in the St. Monica School 2017 Athletics Program.

RELEASE AND WAIVER OF LIABILITY

I understand that there are certain risks associated with participation in the 2013 Athletic Program. I assume all risks associated with the program and activities in which the child participates.

It is understood and agreed that I hereby WAIVE AND RELEASE St. Monica School, Parish, coaches, sponsors, authorized representative(s) and school administrators from ANY AND ALL LIABILITY or claims and damages arising from personal injury, death or damage to property that may occur be in anyway incident to or in connection with participation in this program, or from any NEGLIGENCE of the School, Parish, coaches, volunteers or other representative as a result of the student/participant’s participation in these activities.

INDEMNITY AGREEMENT

I hereby agree to DEFEND, INDEMNIFY AND HOLD HARMLESS this School, Parish, coaches, sponsors, authorized representatives, and school administrators harmless from and against all liability, claims and losses, damages, punitive damages, costs, expenses, attorney’s fees, demands, suits, and causes of actions of every kind (“the claims”), arising on account of personal injury or death or damage to property in any way incident to or in connection with or arising out of ______’s (student/participant) participation in the Athletic Program, notwithstanding the possibility that the sole, joint or concurrent negligence, negligence per se, gross negligence, statutory fault, or strict liability of any person that may have caused or contributed to the claim, to the extent such indemnity obligations are not prohibited by applicable law.

I UNDERSTAND THE DANGERS INVOLVED WITH PARTICIPATION WITH THE 2017 ATHLETIC PROGRAM AND I HAVE READ THIS CONSENT FORM AND RELEASE OF LIABILITY.

Parent/Guardian Name

Please Print

______Signature Date

Advertising for the gym or field is also an opportunity to show your support for St. Monica Athletics as well as to advertise your business to the community. Signage can be placed on the scoreboard as well as east or west end zones. If interested in this opportunity, please contact Tom Hood at 214-351-5688 ext.123 or [email protected].