ALAMANCE COUNTY

RECREATION AND PARKS DEPARTMENT

(Please Print)                                      2008/2009 OFFICIAL ATHLETIC PLAYER CONTRACT

I,                                                                   hereby agree to play                                                                                                                   

                                                                                                                            baseball, softball, football,  basketball

with the                                                                                                                           until properly released.

                                                              (Name of team)

I will upon my honor live up to the aims and ideals of good sportsmanship and promise to obey the rules and regulations of the league.  My failure to do so will automatically suspend me from further competition.

Complete Name of player:                                                                                                                                                                             

                                                                                     (First)                                                (Middle)                                       (Last)

Age:                      Date of Birth                                                                                Telephone No.                                                              

                                                                Month           Day            Year

Complete Address:                                                                                                                                                                                          

                                                                (Address)                                                 (City)                                                    (Zip Code)

Family Physician's Name                                                                                            Telephone No.                                                        

Hereby consent to my child participating in the                                                                                                                              league

                                                                                                          baseball, softball, football, basketball

sponsored by the Alamance County Recreation and Parks Department and certify that his/her information is correctly stated above.  I hereby relinquish any claim against the County of Alamance, Recreation and Parks Department, any sponsoring agent and any coach in the event of an accident to his/her person during the current

                                                                                                season.

    baseball, softball, football , basketball

                  Mother's Signature                                        Date                                 Father's Signature                                   Date

I further understand that individual accident and general liability insurance coverage is not provided by the Alamance County Recreation and Parks Department or any sponsoring agent.  However, accident insurance is available for purchase from a private carrier through the Recreation Department.

************************************************************************************************************************************************

                                                                                           Medical Release Form

This is to certify that I, parent  of                                                                                                                                                                    

a player on the                                                                                                                     team, hereby grant permission to the adult coach of the team to obtain medical care from any licensed physician, hospital, or medical clinic for the player named herein at such times as either parent or legal guardian cannot be contacted in person or by telephone.  This authorization shall include all league activities, including the period required to travel to and from those activities; and I do hereby waive, release, absolve, indemnify and agree to hold harmless the County of Alamance, Recreation and Parks Department, any sponsoring agent,  any coach,  organizers, supervisors, participants, and person transporting the player to and from those activities for any claim arising out of an injury to the player.

SIGNED                                                                                                                                                                                                              

RELATIONSHIP                                                                                                                       DATE                                                               

INSURANCE COMPANY                                                                                                                                                                                 

POLICY OR CERTIFICATE NUMBER                                                                                                                                                           

************************************************************************************************************************************************

(Please Print)                                                                      PLAYER RELEASE

                                                                                                    coach of the                                                                              team in the

                                                                                                                                  league, do hereby agree to release

                        baseball, softball, football, basketball

                                                                                                                                from my team, effective date                                          

                                                (Name of Player)

I understand that he/she is now a free agent and may join any other team of his/her choice.

Signature of coach:                                                                                                                                     Date                                            

NOTE:    No player released from one team will be allowed to play for another team in the same league if the player is released after the cut-off date in the season.  Players will not be released to other conference teams in the Graham and Mebane Programs.

APPROVAL

Signature of Athletic Director                                                                                                                     Date                                            

************************************************************************************************************************************************

The Alamance County Recreation and Parks Department does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or provision of services.

Revised July 2008