Waynesville Youth Basketball Registration Form
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Untitled Title
Player Name *
Gender *
Player Birthdate *
MM
/
DD
/
YYYY
Waynesville Elementary Grade *
Parent Email Address (Preferred Contact) *
Parent Phone Number *
Wayne Local School COVID-19 Liability Waiver
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and explained the provisions in the WYBA COVID Guidelines along with the Wayne Local Schools COVID-19 waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, I and my child/ward understand and accept these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releases and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releases for any and all liabilities incident to my minor child's/ward's presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. *
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