Western Youth Recreation Association, Inc. (WYRA), 1125 Mason St, Barry, IL 62312
2013 Fall Basketball League Registration Form (Individual)
Western Student Registration Fees are $30 per player. Registration forms are due by September 26th.
Make checks payable to the WYRA.
Registration Fees after September 28th will be $45 per player. Final signup date is September 26th.
League play will include 1st, 2nd, 3rd, 4th, 5th, and 6th Grade teams (Boys and Girls). If the team numbers are big enough in each division, the team play will be divided by grade; otherwise the split will be 1st-2nd, 3rd-4th, and 5th-6th divisions. For team registrations please indicate the division that you wish to play in. League play will begin the weekend of October 26th and will end in January. Please see our WYRA Basketball Flier for additional information or visit our website at http://thebyra.org/basketball League Rules available upon request, downloadable at http://thebyra.org/basketball or at the coaches meeting. A team must have a minimum of 7 registered players to make a team. Players can only be registered to play on one team per division.
One Child Per Registration Form
Each team is required to have two adults to work the scorebook and scoreboard at each game.
Please read and understand each of the following sections before signing.
CODE OF ETHICS
I hereby agree to provide positive support, care and encouragement for my child participating in youth sports by following this Code of Ethics for Parents/Guardians.
∙I will encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at every game, practice, or other youth sport event. This includes not using inappropriate language or hand gestures towards any participant.
∙I will place the emotional and physical well-being of my child ahead of a personal desire to win.
∙I will support coaches and officials working with my child, in order to encourage a positive and enjoyable experience for all.
∙I will remember that the game is for the youth, not for adults.
∙I will do my very best to make youth sports fun for my child.
∙I will demand a drug, alcohol, and tobacco-free sports environment for my child and agree to assist by refraining from their use at all sports events.
∙I will ask my child to treat other players, coaches, fans, and officials with respect regardless of race, sex, creed, or ability.
∙I will promise to help my child enjoy the youth sports experience within my personal constraints by assisting with coaching, being a respectful fan,
providing transportation, or whatever I am capable of doing.
I understand that should I not follow this Code of Ethics for Parents/Guardians, I will be asked to leave the premises of the event. Continual misconduct in regards to this Code of Ethics will result in being barred from future events or activities of the BYRA.
WAIVER AND RELEASE OF LIABILITY FORM
In consideration of allowing my minor child to participate in any of the WYRA athletic programs, related events and activities, I acknowledge, appreciate and agree that:
∙The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
∙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,
∙I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove my child from participation and bring such conditions to the attention of the nearest official immediately, and,
∙I for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS, Barry Youth Recreation Association, Inc., its officers, officials, agents, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used to conduct the event ("RELEASEES"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss of damage to person or property, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
∙WYRA members, coaches, and coordinators are not required to transport participants to and from WYRA sponsored activities. In the event the need arises to provide player transportation, I, by signing this form, am granting permission and releasing the driver from liability. I am responsible for consulting a physician concerning
the fitness of the participant/player and his/her ability to participate in any activity sponsored by WYRA.
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to identify and hold harmless, the Releases from any and all liabilities incident to my minor child’s involvement or
participation in these programs as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE.
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Check if interested in being a coach. |
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Check if interested in being an assist coach. |
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Printed name of Parent/Guardian |
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Signature of Parent/Guardian |
