* Players Name
* Birth Date
AAU Expiration Date
* AAU Expiration Date
Any Medical Issues?
Enter any medical issues your child may have
T-Shirt Size for Player
* Home Address
* Mobile Phone
Emergency contact phone number
* Emergency contact phone number
How did you find out about CHILL?
Please read the following statements thoroughly and carefully. By marking "YES" you agree to the conditions mentioned and understand it is your responsibility to sign and return all appropriate paperwork to the league prior to your player participating in any CHILL sponsored activities.
Liability Waiver and Consent to Participate
I understand roller hockey is a physically demanding sport which involves physical contact with other players and physical exertion from my child. I assume all the risks and hazards associated with his/her participation. My child has no known medical conditions, which prohibit participation in this sport. I agree that Cherokee County Parks and Recreation Authority and/or Cherokee Hockey In-line League (CHILL) officials will not be held responsible for any accidents or loss, however caused and agree to release the proprietors from result of or by reason of such accidents or loss. I agree to waive, release, absolve, indemnify and hold harmless the previously mentioned including coaches, parents, agents, or sponsors from legal liability resulting from the any injuries sustained during participation in these activities. In the event of an emergency, I hereby authorize Cherokee Hockey In-line League officials to act on my behalf and provide my son/daughter with emergency medical care. I have read and signed a copy of the Roller Hockey Consent and liability Waiver form to be placed on file. I understand there is no refund policy should my child's registration be withdrawn. I understand the facility is outdoors and will be utilized to the best advantage of all youth involved in the program. CHILL reserves the right to use any pictures taken during the sessions for future advertising and/or instructional purposes.
Code of Conduct
I understand that it is my responsibility as a parent or spectator of the game to show sportsmanship and respect for players, coaches, officials, and other parents and spectators. I understand that if league officials determine that my conduct is not becoming in accordance to the described code of conduct I may be asked to leave. CHILL and Cherokee Recreation and Parks Authority (CRPA) has a NO TOLERANCE POLICY towards violence. When any referee, or designated official requires an individual or individuals involved in a confrontation or conduct unbecoming to leave the park or recreation facility and the individual(s) does not leave, or leaves and returns, the appropriate law enforcement authorities shall be summoned. * A full version of the Parents Code of Conduct Form is available via email upon written request.
In accordance with Georgia law any athlete who exhibits signs, symptoms, or behaviors consistent with a concussion shall be immediately removed from practice or game and shall not return until an appropriate health care professional has determined that no concussion has occurred or it is safe for that athlete to return to competition. *Full version of the Concussion Awareness Form may be sent via email upon request.