Spreadsheet: 1de2bb6d-c930-4519-b433-28b658436e19
Sheet: Sheet1

CITY OF SANTA BARBARA PARKS AND RECREATION DEPARTMENT
ADULT TEAM REGISTRATION FORM     WINTER 2015 |  |  |  |  |  | TEAM NAME
(circle sport) |  | Indoor Volleyball |  | Basketball |  | Soccer |  | Football |  |  | Beach Volleyball
[NAME] (18+ years) First and Last Name |  |  |  |  |  | Cell # |  | Email address
1 (team captain)
2
3
4
5
6
SUBS | Subs first and last name required (cell # and email address not required)
7 |  |  |  | 11 |  |  |  | 15
8 |  |  |  | 12 |  |  |  | 16
9 |  |  |  | 13 |  |  |  | 17
10 |  |  |  | 14 |  |  |  | 18
Select your team's division by circling one below:
Indoor Volleyball |  |  | Coed AA |  | Coed A |  | Coed B |  | Women's
Basketball |  |  | A-div Tuesday night |  |  |  | B-div Tuesday night |  |  |  | C-div Thursday night
Soccer |  |  | Coed A |  |  |  | Coed B |  |  |  | Coed C
Flag Football |  |  | A-div |  |  |  | B-div
Beach Volleyball |  |  | Coed AA | Coed A | Coed B | Men's A | [NAME] | Women's A | Women's B |  | Coed 3v3
SIGN AND DATE AFTER CAREFULLY READING THE INFORMATION BELOW AND ON PAGE 2.
CODE OF CONDUCT: By signing the release agreement below, you acknowledge that you have read & fully understand the City of Santa Barbara Parks & Recreation Department “Code of Conduct” & do thereby for yourself or on behalf of your teammates, agree to abide by its policies and conditions exactly as written.  See back of this form. CITY OF SANTA BARBARA RELEASE AGREEMENT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THIS CITY ACTIVITY OR USE OF ANY CITY FACILITIES IN CONNECTION WITH THIS ACTIVITY, THE UNDESIGNED AGREES TO THE FOLLOWING: 1.   THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES & COVENANTS NOT TO SUE THE CITY OF SANTA BARBARA, ITS EMPLOYEES, next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned, whether caused by any negligent act or omission of the releases or otherwise while the undersigned is participating in the City activity or using any City facilities in connection with the activity. 2.   THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS the releasee’s right to establish the releasee’s right to indemnify or incurred on appeal resulting from involvement in this activity whether caused by any negligent act or omission of the releasee's of otherwise. 3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAME while upon City property or participating in the activity or using any City facilities & equipment whether caused by any negligent act or omission of releasee's or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity  agreement & assumption of risk are intended to be as abroad and inclusive as permitted by California law and that if any portion thereof be held invalid, not with standing ,the balance shall continue in full legal force & effect.  I acknowledge that I have read the foregoing and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City or its employees, agents, or officers if I am injured or damaged for any reason as a result of participation in this activity.  I further acknowledge that no oral representations, statements or inducements have been made.
Team Captain Signature |  |  |  |  |  | Print Name |  |  |  | Date