2016 CHRISTMAS HELPING HANDS HOLD HARMLESS AGREEMENT
Player Registration Deadline: First Game Played
Tournament Begins: December 10-11, 2016
Player Name: _____________________________
Birth Date: __________________
Address: _______________________________________ Apt. #: ______________________
City: ____________________State: _____ Zip Code: ________ Phone: _________________
Team: ______________________________
Coach: ____________________________
1. Youth may participate in a higher age division, but prohibited from participating in a lower age
division.
2. It is the head coach’s sole responsibility to place players on the appropriate roster. If found guilty; strict
disciplinary will be strongly recommended.
3. It is the responsibility of the head coach to ensure that all participants’ birth certificates are present at
each game for the duration of the entire contest.
4. Adult players must have a photo Id present at each game for the duration of the entire contest.
A child may play UP an age division, but cannot play down.
Age Divisions
10- Under - cannot be 11 before November 30, Current Year
12- Under - cannot be 13 before November 30, Current Year
14- Under - cannot be 15 before November 30, Current Year
18-Up - Must be 18 before or by December 19, Current Year
It is agreed that by signing this waiver and participating in a Caddo Parish Parks and Recreation event,
that I hereby agree to hold the Parish of Caddo, its Parks and Recreation Department, its staff, officials,
officers and employees harmless from any liability or claims for damages for the loss of life or injury or
damages to my person or property resulting from my participation in this Caddo Parish Parks and
Recreation event. I understand the hazards and dangers involved in the sport or event. I further
understand that the Parish of Caddo and Caddo Parish Parks and Recreation Department are not providing
health or medical insurance or coverage for any injuries that I sustain or medical treatment that I might
need. I acknowledge that it is my responsibility to provide for my own medical care and treatment should
I be injured or require medical treatment as a result of participating in this event.
Parent/guardian if under 18 years of old:
(initial) I give the Caddo Parks and Recreation permission to
photograph my child/myself for the purpose of publicizing events and/or programs.
_____________________________________________
Parent or Guardian (for youth participant) / Adult Participant Signature
“MORE THAN A GAME”
_________________
Date