KINGDOM SPORTS WAIVER FORM

I represent to Bob's Gym & Fitness Center (Bob's Gym) and 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 at Bob's Gym and that I am solely responsible for all health risks associated with such activities.

I understand that Bob's Gym and Kingdom Sports recommend that I and/or my child be examined by a physician prior to engaging in activities at Bob's Gym with Kingdom Sports. I acknowledge that Bob's Gym and 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 Bob's Gym and Kingdom Sports participation in any of Bob's Gym activities or programs, including without limitation his/her use of Bob's Gym 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 Bob's Gym Kingdom Sports, and/or its owners, shareholders, officers, directors, employees, agents or affiliates (collectively, "Bob's Gym 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 Bob's Gym and Kingdom Sports (and KSP divisions), and Bob's Gym 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 Bob's Gym or their participation in any of Bob's Gym activities, or programs, including those which arise out of the negligence of Bob's Gym, Kingdom Sports, and Bob's Gym Affiliates. Further, I herby release and discharge Bob's Gym, Kingdom Sposrts and Bob's Gym 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 and Bob's Gym. 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 PLAYER PROFILE
K - 2nd Grade Youth BB League ELEM VB (4th – 6th) U8 - Coed Play         Age: 
3rd & 4th Grade Youth BB League MS Girls VB (Elite 6th – 8th) U10 - Coed Play      Grade: 
5th & 6th Grade BB League HS JV VB (Elite 8th – 10th) U12 - Boys      Height: 
7th - 9th Grade BB League HS Varsity VB (Elite 10th – 12th) U12 - Girls     School: 
High School Boys’ BB League CO-ED VB  U14 - Boys T-SHIRT SIZE
High School Girls’ BB League   U14 - Girls      (Youth) S M L
     Youth sizes for BB (K-4th)
     and Soccer (U8 & U10)
    High School - Boys
    High School - Girls      (Adult)  S M L XL
    Men's Competitive LOCATION
    Men's Open Bob’s Gym – Newburgh
    Adult Coed Bob’s Gym – North
    Women's Bob’s Gym – West
    Soccer Mom's - Beginner Any
Other:  Other:  Other:  CHECK LEAGUE SEASON:
BB Tourney:  VB Tourney:  Soccer Tourney:  Jan – Mar
BASKETBALL PROGRAMS VOLLEYBALL PROGRAMS SOCCER PROGRAMS Apr – May
BB 1 – 1 TNG VB 1 – 1 TNG SOCCER 1 – 1 TNG June - July
Get Vertical Little Volley Little Striker Aug – Sept
Little Hooper Get Vertical Soccer Clinic Oct – Dec
BB Clinic VB Clinic  Soccer Camp REQUESTS
 BB Camp  Volleyball Camp      Christmas Camp
     Christmas Camp      Christmas Camp      Spring Break Camp
     Spring Break Camp      Spring Break Camp      Summer Camp
     Summer Camp      Summer Camp Other:
TSC - Shooting Only Other:   FLAG FOOTBALL LEAGUE
Friday Night Hoops   1st– 2nd Grade Youth Flag FB LG
Cardio Hoops   3rd– 4th Grade Youth Flag FB LG
Other:    5th – 6th Grade Youth Flag FB LG
    7th – 8th Grade Youth Flag FB LG
    High School Flag FB LG
    Adult Flag FB LG