Dodgeball Team Registration Form
(Please fill in all RED MANDATORY boxes.)

Team Name:

Day Phone:

Capt. Name:

Evening Phone:

Mailing Address:

City, State, Zip:

Email Address:

Choose Division:

List Team Roster:

Player 1:

Player 2:

Player 3:

Player 4:

Player 5:

Player 6:

Player 7:

Player 8:

Player 9:

Player 10:

Player 1 Email:

Player 2 Email:

Player 3 Email:

Player 4 Email:

Player 5 Email:

Player 6 Email:

Player 7 Email:

Player 8 Email:

Player 9 Email:

Player 10 Email:

Team Waver:

  Waver Agreement: In enrolling at The Greensboro Sportsplex, participant understands that he/she attending the programs and using The Greensboro Sportsplex and the facilities does so at his/her own risk. The Greensboro Sportsplex and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by participant with his/her family in or about any programs on the premises. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises, He/She does hereby fully and forever release discharged hold harmless The Greensboro Sportsplex, all associated facilities and its owner, employees, and agents from any and all claims, demands, damages or rights of action, present or future resulting from any person's participation in any programs or use of the facility. In addition, he/she agree(s) to follow the rules of conduct and play set by The Greensboro Sportsplex. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff at The Greensboro Sportsplex to render a judgement concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize The Greensboro Sportsplex and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films.