Adult Individual Player Form 2304 Churchville Road Bel Air, Maryland 21015 (410) 734-7300 Player’s Name: Address: City: Home Phone: Email Address: Date of Birth: State: Zip: Cell Phone: Team Name: Captain’s Name: Emergency Contact’s Name: Emergency Contact’s Phone Number: Any Known Allergies/Illnesses: I accept full responsibility for my use of any and all apparatus, appliance, facility privilege or service whatsoever owned and operated by the club, its shareholders, directors, offices, employees, representatives, and agents harmless from any and all loss, claim, injury, damage, or liability sustained or incurred resulting there from. House Rules • • • • • • • • Individuals utilizing the facility should do so at their own risk. The property owners, league administrators and the staff of The Arena Club assume no liability for any injuries or accidents. No tobacco products or alcoholic beverages are permitted inside/outside the facility No foul or abusive language at any time No fighting or arguing of any kind will be tolerated; you will be removed from the building immediately and not allowed back in for a period of time to be determined by the Athletics Manager. Individuals are responsible for making sure their bench area is clean before leaving the arena; do not leave bottles or trash behind for other teams to clean up There is no ball playing allowed outside of the netted area There is no arguing with the referees There is no slide tackling Player Name Signed: Player Name Printed: Date:
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