KINGDOM SPORTS WAIVER FORM

I represent to Kingdom Sports (KSP) [including its Fundamentals Basketball Academy, Elite Volleyball Academy and Ultimate Soccer Academy divisons] that I and/or my child is physically fit to perform those activities which he/she may undertake with Kingdom Sports and that I am solely responsible for all health risks associated with such activities.

I understand that  Kingdom Sports recommend that I and/or my child be examined by a physician prior to engaging in activities at Kingdom Sports. I acknowledge that Kingdom Sports, including its employees, are not licensed medical practitioners, and that their advice is therefore limited in scope and is not a substiute for medical supervision and advice. I acknowledge that I and/or my child's attendance at or use of Kingdom Sports in any of its activities or programs, including without limitation his/her use of Kingdom Sports equipment and facilities, I hereby assume all risks of personal injury, death, property loss or other damages which may result from or arise out of attendance at or use of equipment; weight lifting; team and individual sports; exercise; locker room; sauna; steam bath; swimmming; pools; whirlpool; sun tanning; dining; massage; spa; nursery; obstacle course; adventure sports; parking; environmental; theft; contagion; use of Kingdom Sports, and/or its owners, shareholders, officers, directors, employees, agents or affiliates (collectively, "Kingdom Sports Affiliates") for any such personal injuries, property loss or other damages connected to or arising out of any of the aforesaid risks.

I herby on behalf of myself and/or my son/daughter fully and forever release and dicharge Kingdom Sports (and KSP divisions), and Kingdom Sports Affiliates, and each of them, from any and all claims, damages, demands, rights of action or causes of action, present or future, known or unknown, anticipated or unanticipated, resulting from or arising out of my and/or my child's attendance at or use of Kingdom  Sports or their participation in any of Kingdom Sports activities, or programs, including those which arise out of the negligence of Kingdom Sports, and Kingdom Sports Affiliates. Further, I herby release and discharge Kingdom Sposrts and Kingdom Sports Affilites from any and all liability for any loss, or theft of, or damage to personal property, inclucing without limitation automobiles and the contents of lockers.

Should pictures and/or video be taken during any event, I do hereby give permission for myself or my child/children to be included in picture(s), likeness, image and/or voice in a videotape or publication promoting Kingdom Sports. I also understand that I and/or my child/children will not receive any additional compensation for said photos and/or video.

I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a waiver and release of liability. 

I Agree 

   FIRST NAME:    LAST NAME:    DOB:
   STREET ADDRESS:
   CITY:    STATE:    ZIP CODE:
   HOME PHONE:    EMERGENCY/CELL PHONE:
   EMAIL: 
   GUARDIAN NAME:    RELATIONSHIP:
   DATE: 
    -WOULD YOU BE INTERESTED IN COACHING A TEAM IN ONE OF OUR YOUTH BASKETBALL, VOLLEBALL &/OR SOCCER LEAGUES?
YES NO
     -WOULD YOU BE INTERESTED IN SPONSORING A TEAM IN ONE OF OUR YOUTH BASKETBALL, VOLLEBALL &/OR SOCCER LEAGUES?
YES NO
PLEASE COMPLETE REGISTRATION FORM AND CLICK THE "SUBMIT" BUTTON BELOW.
Kingdom Sports
115 N. Weinbach Ave Suite A
Evansville, IN 47711
(812) 962-3478
BASKETBALL LEAGUES VOLLEYBALL LEAGUES SOCCER LEAGUES
(FUTSAL)
PLAYER PROFILE
K - 2nd Grade Youth BB
     League
ELEM VB (4th – 6th) K - 2nd Grade Youth Soccer
     League (FUTSAL)
        Age: 
3rd & 4th Grade Youth BB
     League
MS Girls VB (Elite 6th – 8th) 3rd & 4th Grade Youth Soccer
     League (FUTSAL)
     Grade: 
5th & 6th Grade BB League HS JV VB (Elite 8th – 10th) 5th & 6th Grade Soccer
     League (FUTSAL)
     Height: 
7th - 9th Grade BB League HS Varsity VB (Elite 10th 12th) 7th - 9th Grade Soccer League
     (FUTSAL)
    School: 
High School BB League ADULT CO-ED VB  High School Soccer League
     (FUTSAL)
T-SHIRT SIZE
  Other:         (Youth) S M L
     Youth sizes for BB (K-4th)
     and Soccer (U8 & U10)
Other:  VB Tourney:  Other: 
BB Tourney:  Soccer Tourney:       (Adult)  S M L XL
 BASKETBALL PROGRAMS VOLLEYBALL PROGRAMS SOCCER PROGRAMS LOCATION
BB 1 – 1 TNG VB 1 – 1 TNG SOCCER 1 – 1 TNG Kingdom Sports
Get Vertical Little Volley Little Striker
Little Hooper Get Vertical Super Striker
BB Clinic VB Clinic Friday Night Soccer
BB Camp Volleyball Camp Soccer Clinic CHECK LEAGUE SEASON:
Christmas Camp Christmas Camp Soccer Camp Jan – Mar
Spring Break Camp Spring Break Camp Christmas Camp Apr – May
Summer Camp Summer Camp Spring Break Camp June - July
TSC - Shooting Only Other:  Summer Camp Aug – Sept
Friday Night Hoops   Other:  Oct – Dec
Cardio Hoops     REQUESTS
Other: