2024 10u Summer League Registration

10U Summer League

* Indicates required field

Players Name *

First

Last

Players Age *

Players Grade (24-25 School Year) *

4 5 6

Parent/Legal Guardian Name *

First

Last

Primary Phone Number (to receive calls and texts) *

Are you interested in coaching ? (if interested, Scott will reach out to you to chat about coaching opportunities) *

I am interested in coaching I am NOT interested in coaching

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please list any medical conditions that we should know about *

PARTICIPATION IN THIS PROGRAM MAY INVOLVE RISK OF INJURY. AS A PARENT, GUARDIAN OR PARTICIPANT, I AM AWARE OF THESE HAZARDS AND MY CHILD’S ABILITY TO PARTICIPATE. IN CONSIDERATION FOR PARTICIPATION IN THE PROGRAM LISTED ABOVE, I HEREBY FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS WAIVE AND RELEASE ALL RIGHTS AGAINST Lakes Region Elite, THE GILFORD YOUTH CENTER, THE GILFORD COMMUNITY CHURCH, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS, AND SUPERVISORS, EXCEPT IN THE CASE OF THEIR SOLE NEGLIGENCE, FROM ALL LOSSES, INJURY, DAMAGES, FEES, AND OTHER EXPENSES, ARISING OUT OF OR IN CONNECTION WITH PARTICIPATION IN THE PROGRAM AND ACTIVITIES. IN ADDITION, I GIVE MY PERMISSION FOR THE CHILD TO BE TREATED BY QUALIFIED MEDICAL PERSONNEL IN THE EVENT THAT THE ABOVE NAMED PARENT/GUARDIAN CANNOT BE REACHED AT THE PHONE NUMBERS PROVIDED. AS A PARENT, GUARDIAN OR PARTICIPANT, I ALLOW THE GILFORD YOUTH CENTER TO TAKE MY CHILD’S PICTURE/VIDEO FOR ADVERTISING AND PROMOTIONAL PURPOSES *

I agree to all the terms stated above

LRE Summer League Registration

10U Summer League