2017 CO-REC INNER-TUBE WATER POLO
ROSTER, WAIVER, AND SPORTSMANSHIP AGREEMENT FORM
LEAGUE INFORMATION: (LEAGUE MAY FILL, GET YOUR ROSTER IN EARLY)
FEE: $80.00 PER TEAM (CHECK, CASH, CREDIT CARD: VISA OR MASTERCARD)
REGISTRATION DEADLINE: JANUARY 12TH AT 4PM
(TEAMS WILL ONLY BE PUT IN LEAGUE IF THERE IS SPACE AVAILABLE AFTER DEADLINE)
REGISTER: MAIL (MAY NOT BE RECEIVED BY DEADLINE) OR BRING TO PARKS & RECREATION OFFICE: 600 CREGG LANE, MISSOULA, MT 59801
GAME DAYS/TIMES/LOCATIONS: SUNDAYS/6:00-9:00PM/CURRENTS INDOOR WATER CENTER
LEAGUE BEGINS: SUNDAY, JANUARY 15TH AT 6PM
FORMAT: 5V5, 2 MALE & 2 FEMALE PLUS A MALE OR FEMALE GOALIE AGES: 16+
CAPTAINS MEETING: SUNDAY, JANUARY 15TH AT 5:30PM, AT CURRENTS (MCCORMICK PARK). ATTENDANCE IS MANDATORY.

TEAMS WILL NOT BE PUT IN LEAGUE UNTIL FULL PAYMENT IS RECEIVED BY PARKS AND RECREATION
CUT HERE KEEP TOP PORTION FOR YOUR RECORDS AND RETURN BOTTOM PORTION TO PARKS AND REC OFFICE:
2017 CO-REC INNER-TUBE WATER POLO
ROSTER, WAIVER, AND SPORTSMANSHIP AGREEMENT FORM
*************************************ATTENTION*************************************
LIMITED SPACE AVAILABLE IN LEAGUES, TEAM REGISTRATION IS BASED ON FIRST COME FIRST SERVE. DAYS AND TIMES ARE SUBJECT TO
CHANGE, DEPENDING ON NUMBER OF TEAMS REGISTERED.
PLEASE FILL OUT COMPLETELY: CHECK LEAGUE, TEAM NAME/SKILL, CAPTAIN/CO-CAPTAIN INFORMATION. PLAYER INFORMATION AND SIGNATURES
RETURN WITH PAYMENT TO: PARKS & RECREATION OFFICE, 600 CREGG LANE, MISSOULA, MT 59801.
 CLASS # 7898
CO-REC INNER-TUBE WATER POLO LEAGUE: MAX 12 TEAMS
GAMES HELD: SUNDAYS 6:00-9:00PM @ CURRENTS INDOOR WATER PARK
TEAM NAME:________________________________
CAPTAIN (MUST SIGN ROSTER AND SPORTSMANSHIP AGREEMENT)
NAME: _______________________________________
ADDRESS: ____________________________________
CITY/STATE/ZIP: _______________________________
TELEPHONE (WK): _____________________________
TELEPHONE (HM): _____________________________
EMAIL: ______________________________________
TEAM SKILL (ADV./INT./BEG.):_____
CO-CAPTAIN (MUST SIGN ROSTER AND SPORTSMANSHIP AGREEMENT)
NAME: _______________________________________
ADDRESS: ____________________________________
CITY/STATE/ZIP: _______________________________
TELEPHONE (WK): _____________________________
TELEPHONE (HM): _____________________________
EMAIL: ______________________________________
ALL INFORMATION IS FOR PARKS AND RECREATION LEAGUES ONLY. NO INFORMATION WILL BE RELEASED TO ANY OTHER ORGANIZATION/
WAIVER STATEMENT: WE, THE UNDERSIGNED, MEMBERS OF THE ABOVE TEAM ORGANIZED UNDER THE PARKS AND RECREATION DEPARTMENT RECREATION PROGRAM, IN
CONSIDERATION OF BEING GIVEN THE OPPORTUNITY OF PARTICIPATION IN SAID RECREATIONAL PROGRAM, HEREBY EACH INDIVIDUALLY RECOGNIZE AND ASSUME ALL RISKS
ASSOCIATED WITH SUCH ACTIVITY AND WE EACH HEREBY RELEASE THE CITY OF MISSOULA, PARKS AND RECREATION DEPARTMENT, AND ALL OFFICIALS AND PERSONNEL OF
THE CITY OF MISSOULA FROM ANY AND ALL LIABILITY WHATSOEVER FOR ANY INJURIES OR DAMAGES THAT I, MY HEIRS AND DEVISEES, DEPENDENTS AND ASSIGNS MAY SUSTAIN IN ANY WAY DURING THE COURSE OF MY PARTICIPATION IN THIS RECREATION PROGRAM. I WILL ACCEPT CPR AND FIRST AID TREATMENT AND THE USE OF MY PHOTO IN
PARKS & RECREATION PROMOTIONS.
ALL PLAYERS MUST SIGN ROSTER AND SPORTSMANSHIP AGREEMENT BEFORE THEY CAN PLAY.
PRINT NAME
SIGNATURE
PHONE
E-MAIL
DATE
1._________________________________________________________________________________________________________________
2._________________________________________________________________________________________________________________
3._________________________________________________________________________________________________________________
ON BACK: EXTRA SPACE FOR PLAYERS AND SPORTSMANSHIP AGREEMENT.
2017 INNER-TUBE WATER POLO
ROSTER, WAIVER, AND SPORTSMANSHIP AGREEMENT FORM
ALL PLAYERS MUST SIGN ROSTER AND SPORTSMANSHIP AGREEMENT BEFORE THEY CAN PLAY.
PRINT NAME
SIGNATURE
PHONE
E-MAIL
DATE
SKILL LEVEL (B/I/A)
4._________________________________________________________________________________________________________________
5._________________________________________________________________________________________________________________
6._________________________________________________________________________________________________________________
7._________________________________________________________________________________________________________________
8._________________________________________________________________________________________________________________
9._________________________________________________________________________________________________________________
10.________________________________________________________________________________________________________________
11.________________________________________________________________________________________________________________
12.________________________________________________________________________________________________________________
13.________________________________________________________________________________________________________________
14.________________________________________________________________________________________________________________
15.________________________________________________________________________________________________________________
SPORTSMANSHIP AGREEMENT - (ALL PLAYERS MUST READ AND SIGN)
THE MISSOULA PARKS AND RECREATION ADULT SPORTS PROGRAMS ARE PROVIDED ON THE UNDERSTANDING THAT ALL PLAYERS WITHIN THE LEAGUE ARE
TO BEHAVE IN A MANNER THAT IS MATURE AND REFLECTIVE OF GOOD SPORTSMANSHIP. THIS AGREEMENT IS TO BE SIGNED AND UNDERSTOOD BY ALL PLAYERS, AND IF NOT ADHERED TO, WILL RESULT IN DISMISSAL FROM PARKS AND RECREATION PROGRAMS, NO REFUNDS.
1) NO FIGHTING - ANY PHYSICAL FIGHT DURING GAME PLAY WILL RESULT IN THE DISMISSAL OF ALL PLAYERS INVOLVED FOR THE SEASON.
2) ZERO TOLERANCE POLICY - REGARDING VERBAL ABUSE OF PARKS AND RECREATION EMPLOYEES; INCLUDING OFFICIALS, UMPIRES, SUPERVISORS, ETC.
3) OFFICIALS DECISIONS ARE FINAL DURING GAME PLAY: DISPUTES AND CLARIFICATION OF RULES MAY BE ADDRESSED BY TEAM CAPTAINS AT HALFTIME OR
END OF GAME.
4) ALL PLAYERS MUST ABIDE BY ALL RULES STATED IN SPORT SPECIFIC RULE SHEET.
5) PLAYERS ARE EXPECTED TO BE RESPECTFUL TO EACH OTHER AND PRACTICE GOOD SPORTSMANSHIP TOWARDS ALL OFFICIALS, PLAYERS, TEAMS, AND SPECTATORS WITHIN THE LEAGUE.
SIGNATURE
I HAVE READ AND UNDERSTAND THIS SPORTSMANSHIP AGREEMENT
SIGNATURE
1.
6.
11.
2.
7.
12.
3.
8.
13.
4.
9.
14.
5.
10.
15.
SIGNATURE