Sports Registration

Payments are due in full by November, 1 2019.

$165 for 12U

$185 for 16U
Parent Name*
First Last
Spouse Name
First Last
Player Name*
First Last
Player Grade*
Player Age as of September 1*
Player's date of birth*
Date Format: MM slash DD slash YYYY
What team are your registering for?*
- 12U Boys Basketball
- 16U Boys Basketball
- 16U Girls Basketball

Contact Information
Address*
Street Address Address Line 2 City State ZIP Code
Parent email address*
Parent phone number*
Can this phone receive text messages?*
- Yes
- No
Alternate phone number
Can this phone receive text messages?
- Yes
- No
Player email address (if applicable)
Player cell phone (if applicable)

Medical History
Student's Birthdate
Date Format: MM slash DD slash YYYY
Gender
Health insurance carrier*
Health insurance address
Street Address Address Line 2 City State ZIP Code
Group number
Subscriber number
Current Medications
Food Allergies
Doctor's name*
First Last
Doctor's phone number*
Doctor's address*
Street Address Address Line 2 City State ZIP Code
I give permission for the coach and/or board members to authorize medical treatment for my son or daughter in my absence.
Parent or Legal Guardian's full name*
Typing your name above serves as your digital signature authorizing consent.

Consent of Parent Permission
Full name of minor child being enrolled in OHHS program*
Child's date of birth*
Date Format: MM slash DD slash YYYY
Full name of parent or legal guardian of the minor child being enrolled in the OHHS sports program*
I give my permission for said child to take part and to participate in a sports program of the Owosso Home School Sports (OHSS), which is a Michigan Non-Profit Corporation.

I understand that serious injury could result to my child from his/her participation in a sports program and I further agree on the behalf of my heirs, executors, administrators, successors and assigns of the undersigned, to release, remise, acquit and forever discharge OHSS, and any churches or gyms they play and practice, their employees, agents, coaches, volunteers, heirs, executors, administrators, successors and assigns, of and from any and all claim, actions, causes of actions, demands, rights, damages, costs, injuries or other damages whatsoever, which I or my minor children, may have resulting from or occurring during my minor child’s participation in a sports program.

Further, I acknowledge that OHSS recommends that I obtain a full physical examination for my child prior to participation in a sports program, and I further agree on behalf of my heirs, executors, administrators, successors and assigns of the undersigned, to release, remise, acquit and forever discharge OHSS, First Free Methodist Church, Laingsburg Christian, or any other facilities where they play and practice, their employees, agents, coaches, volunteers, heirs, executors, administrators, successors and assigns, of and from any and all claim, actions, causes of actions, demands, rights, damages, costs, injuries or other damages whatsoever, which I or my minor children, may have resulting from or occurring from my failure to obtain a physical examination.

The undersigned have read the forgoing release, fully understand it, and agree to be bound by its terms.
Parent or Legal Guardian's full name*
Typing your name above serves as your digital signature agreeing to above terms.

Christ-Like Character Contract

We have received, read, and understand the Athletic Handbook (download by clicking this link) of Owosso Home School Sports association. We commit ourselves to abide by the policies and procedures as listed in the handbook. We further acknowledge the Board of Directors authority to implement the observance of these policies. We covenant with them to develop Christ-like character.
Parent or Legal Guardian's full name*
Typing your name above serves as your digital signature agreeing to above terms.
Athlete's full name*
Typing your name above serves as your digital signature agreeing to above terms.

Owosso Home School Sports Parent Volunteers
OHSS is a parent-run volunteer organization. You are required to sign up for volunteer responsibilities. You'll be contacted to sign up at a later date. If you do not sign up, you understand you'll be randomly assigned positions.*
- Yes, I understand.

Payment

After submitting this form, you'll be redirected to Paypal where you can submit your payment. If you do not have a Paypal account, you may use a credit card on the Paypal website.
Total Due
$0.00

Basketball Registration

Step 1 of 7

Contact Information

Medical History

Consent of Parent Permission

Christ-Like Character Contract

Owosso Home School Sports Parent Volunteers

Payment