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City of Crestview
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Sports Registration Form

  1. Sports Banner

  2. Sports

  3. Returning Player

  4. Draft

  5. Gender

  6. Resident

  7. I, _________________________, covenant and agree that I will indemnify and hold harmless the City of Crestview and the City of Crestview’s Mayor, Council members, agents, and employees from any and all claims, losses, accidents, injuries, sickness, damages, costs, charges, or expenses of any kind whatsoever arising out of any act, action, neglect, or omission by (me) or (my child) while attending or participating in any event, sport, or activity to be conducted on or about the premises of the Twin Hills Gymnasium or other City Recreational facilities. No refunds will be issued once uniforms have been ordered.

  8. Signature of Parent or Guardian of Minor Child ________________________

  9. Date: __/__/____

  10. OFFICIAL USE ONLY

  11. Check or Cash Only

  12. Date Paid: __/__/____

  13. Check Number: ________

  14. Receipt Number: ________

  15. Amount Paid: $______.____

  16. Register Tape Number: _____________

  17. Cash: ______________

  18. Leave This Blank: