2016-17 Fountain Lake Youth Athletic Program Peewee Basketball Registration Registration Deadline: Friday, October 21st - 3:30 pm Player’s Responsibility: Shoes, Socks, 3rd and 4th grade Black gym shorts FL Responsibility: Uniforms Practices will begin soon after registration deadline.
_____________________________________________________ Student Grade (2016-17) 3rd Parent(s) Name
4th
5th
6th
(Circle)
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Parent(s) Address _____________________________________ Home Phone
_____________________________________
Cell Phone
_____________________________________
Email
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Fountain Lake Youth Athletic Program Peewee Basketball-Parent Agreement I, the undersigned parent/guardian of ___________________________________, Grade _____hereby acknowledge that I am releasing Fountain Lake School, its employees, officers, coaches, and volunteers from any and all claims for damages, including but not limited to all actions, causes of actions, claims and demands for, upon, or by reason of any damage, loss or injury, known or unknown, which may be traced either directly or indirectly to my child’s participation in the 2016-17 Fountain Lake Youth Athletic Program-Basketball Program. _______ Initials By signing this agreement, I understand that parents/guardians are encouraged to watch practices and games, but are to refrain from being on the court during practices and games. I understand the coaches are responsible for the on court events. _______Initials By signing this agreement, I understand the students involved in the FLYAP program are held to standards set by Fountain Lake School. In the event of poor grades, ISS, OSS, etc. the students will abide by school rules. In effect, being held out of games and practices could occur. With ISS/OSS, the students will not be able to participate during that week’s games if a suspension occurs. ______Initials By signing this agreement, I understand that I, as a parent/guardian, am financially and physically responsible for lost/damaged school issued equipment. The equipment will be replaced at the cost of new equipment. _______Initials Parent or Guardian Signature: ______________________________________ Parent or Guardian Signature: ______________________________________
Date:___________________________________________________________ Phone(s):______________________________________________________ __
