ADULT SPORTS
ROSTER/RELEASE FORM
Rosters must be turned in on day of first played game/match!
Sport:
Basketball
Volleyball
Dodgeball
Division:
Co-Rec_____ Mens______ Women_________
Manager’s Name_______________________ Home Phone_________ Cell Phone___________
Address_______________________________ City________________ State____Zip_________
It is the Team Manager’s responsibility to make players aware of all ARCC league information,
and to inform all players listed below that by placing their name on the roster below, they
understand and agree with the following release statement.
I agree and understand that in consideration for being permitted to participate in this ARCC sports program, I do
hereby for myself, executors, administrators and heirs release the City of Aurora, the Aurora Recreational
Community Center, their employees, agents and volunteers, from all claims or demands resulting from any and all
injuries sustained while participating in or attending games, practices, or events as part of this ARCC. I do hereby
give permission to the City of Aurora, the Aurora Recreational Community Center, their employees, agents and
volunteers to use photographic images and/or video footage for promotional items (web site, newsletters, flyers)
________________________________________
____________________________
Signature of Manager
Date
***Roster will not be accepted without Team Manager signature***
Provide us with your team roster – please rint this section clearly!
1.___________________________________
10.___________________________________
2.___________________________________
11.___________________________________
3.___________________________________
12.___________________________________
4.___________________________________
13.___________________________________
5.___________________________________
14.___________________________________
6.___________________________________
7.___________________________________
8.___________________________________
9.___________________________________
15.___________________________________
16.___________________________________
17.___________________________________
18.___________________________________