WYCO Sports - Registration Form

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FIRST, all parent or guardian that is registering and paying for a child must first read and agree
to the following Waiver Liability agreement by typing in your full name in the provided space.

Waiver Liability Agreement

1. By participating in WYCO sports programs, it is agreed for ourselves and on behalf of our child to release, hold harmless, and indemnify the Wyandotte County Sports Association, Inc., its officers, board members, managers, employees and sponsors from any and all liability from injury or damage sustained by our child while participating in WYCO sports activities.

2. I understand the Wyandotte County Sports Association does not provide medical insurance, and I am responsible for any medical costs associated with participation in any WYCO sports program.

3. I understand that Wyandotte County Sports Association is responsible for the assignment of players to teams in our sports program.

4. I certify that upon request of the Wyandotte County Sports Association administrative office, I will provide a copy of my child' birth certificate for age verification.

By typing my "Full Name" in the following space I state that I have read and hereby
agree to provisions 1 through 4 of the above Waiver Liability:

Name Today's Date

If you do not agree, do NOT proceed with the registration process...

If you DO agree, please proceed as directed!

Please fill all appropriate spaces and check the appropriate boxes.
(Use "tab" key to move to next box. --- Use "space bar" or "mouse click to mark check-boxes)

Use Upper Case Letters ONLY where appropriate... Thank you!

Player's Last Name Player's First Name

Baseball / Softball	Male / Female	Date of Birth
Select Your Sport		Example: 06-16-1998

Parent's Last Name Parent's First Name

Address

City State Zip

Home Phone Cell Phone

E-mail

Secondary Contact Name

Secondary Phone or Cell Phone #

Secondary E-mail

School Your Child Attends Current Grade

The Most Recent Year Your Child Played at WYCO?
If this is the first year type in "1st year"

If Played Last Year, Provide that Manager's or Team Name

As a Parent/Guardian, I am interested in being a: Manager / Coach / Sponsor

Parent/Guardian Online Signature
By typing my name in the above box, I hereby understand and accept the implications of submitting this form.

Use Area Below for Additional Information

Validate this form! - Before submitting,
you MUST fill in the blank below with
this code > wyco1

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