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Please circle which league you are registering your team for: Fee: $150 Fee: $150 Fee: $100 Fee: $100 Fee: $100 18 & Over Division 40 & Over Division 55 & Over Division Mixed Leagues Combo Leagues 3.0 Day Women 40 & Over Day 55 & Over Women 18 & Over MXD Day W Combo – Weds. 4.0 Low Day Women 40 & Over+ Bus. 55 & Over Bus. 40+ MXD Day W Combo – Thurs. 4.0 Day Women 40 & Over Men 55+ Men (3Ds) Bus W Combo Bus. Women Men Combo Men 40+ W Combo Men 4.0 Low 40+ Combo Bus W 2.5 Day 40+ Combo Men Please circle the season: Fall Winter Spring Summer Please Print Clearly Team Captain Name Team Captain E-mail Address Address City State Zip Home Phone Cell Phone Emergency Contact Phone Date of Birth / / Age Sex Co-Captain Information Name E-mail address Home Phone Cell Phone Team Information Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone Member Cell Phone USTA League Information All USTA teams must complete registration form and pay court fee in order to utilize courts for any matches. Team captain must be an Oconee County resident and must provide residency proof at time of registration. A copy of your state issued photo ID will be placed on file with your registration form each season. USTA teams are accepted based on court availability by the order that teams registered and pay fee. Courts for make-up matches must be coordinated in advance through the park office at Oconee Veterans Park by the team captain. I understand Oconee Veterans Park courts 7 & 8 are for public use only, no league play is permitted. If any team member violates this policy the entire team may lose the privilege of using any OVP courts without refund. Refund Policy: No refunds or credits will be granted unless requested at least 5 days (Monday - Friday 9a.m. - 6 p.m.) before the session, program draft or league begins. If request is made 5 days prior to the start date, you will have two options: Receive an immediate credit for the full amount valid for 12 months or Receive a refund, minus a 25% administration fee. A pro-rated credit may be issued in the event an activity cannot be completed due to a documented medical problem. Registration convenience fees are non-refundable. Team Captain Signature Date OVER 2015-2016 USTA COTA Team Registration Form ---PAGE BREAK--- PARTICIPANT WAIVER & RELEASE OF LIABILITY MUST BE SIGNED TO PROCESS REGISTRATION In consideration of the named participant being allowed to participate in any way in the Oconee County Parks and Recreation Department programs, related events and activities, I, the parent/ legal guardian, of the named child, or as an adult participant, hereby acknowledges, appreciates, and agrees to the following: 1. The risk of injury or damages to my child and/or myself from the activities involved in the programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exists; and, 2. FOR MYSELF, SPOUSE AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation; and, 3. I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HEREBY INDEMINFY AND HOLD HARMLESS the Oconee County Board of Commissioners, and all employees or agents of Oconee County, including all individuals who are affiliated with the programs administered by the Parks and Recreation Department of Oconee County (“Releases”), from any and all liabilities incident to my involvement or participation in these programs or transportation to and from activities, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law. 4. I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE THE other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my and/or my child’s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 5. I hereby grant consent to any and all first aid responders designated by the Oconee County Parks and Recreation Department to provide my child any necessary medical care as a result of any injury/illness. This consent includes First Aid and transportation to/from first aid responders. 6. I further understand that health, or accident insurance which would cover my or my child's medical, hospital, or related expenses in the event of injury in this activity is my responsibility. I understand the Parks & Recreation Department of Oconee County strongly recommends that if I do not have sufficient insurance to cover such incidents that I should take the necessary action to obtain it. 7. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my or my child’s readiness for participation and/or in the program itself, I will remove myself or my child from the participation and bring such attention of the nearest official immediately; and, 8. I understand that I am bound to abide by the Oconee County Parks & Recreation Department's Code of Conduct. I further understand that these programs are recreational and that if either parent should exhibit continued unsportsmanlike conduct, the child may be removed from the program. 9. I understand that the department may use participant images or videos, and that such may be published in an outlet used to promote or publicize the program or department. 10. In addition, I understand that it is mandatory for a parent of all competitive youth sports participants to attend a Parents Association for Youth Sports (PAYS) training before their child can participate in a youth sports program. I HAVE READ THIS RELEASE OF LIABILITY, ASSUMPTION OF RISK AGREEMENT AND WAIVER. I FULLY UNDERSTAND ITS TERMS, I UNDERSTAND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Team Captain Signature Date