Details for 4th Blazers-Fus
120250-J (BASKETBALL)

Details:
*****PLEASE READ!!!*****

Initial Fee of $575 (less $10 tryout fee) (plus additional uniform cost (if needed)).

PROGRAM CONSENT FORM
By registering online, I acknowledge that I understand that my child will be participating in the Western Springs Blazers/Wildcats Traveling Basketball Program. I give permission for my child to participate as outlined below. *I also acknowledge that additional fees may be owed for my child's team at the completion of the season.

MEDICAL INFORMATION/CONSENT
Safety is a key concern in any athletic endeavor. Your child will be participating in many basketball practices and games during the next few months. PLEASE BE AWARE THAT THERE IS INHERENT RISK OF INJURY PLAYING BASKETBALL. If you believe this activity could endanger your child, please do not sign up or drop him/her from this program. Also, please make sure your child has had a physical checkup from his/her doctor and is physically able to participate in this strenuous activity.

Finally, due to the nature of a traveling team, the players will be playing games in other communities. If an EMERGENCY SITUATION arises involving your child, we will take quick action. The coach will make every effort to contact a child's parents, but failing to reach you, he/she will exercise his/her best judgement including making a decision to contact 911 services for assistance. The MEDICAL INFORMATION and CONSENT you provide will be with the coach during the season. If there are any questions or concerns about these items, please contact Mike Kenny at 708-246-9070 x428.

GENERAL ACTIVITY/COVID WAIVER
Please read this carefully and be aware that by registering for and participating in programs or by registering your minor child/ward for participation in programs you will be waiving your rights and/or the right of your minor child/ward to all claims for injuries you or your minor child/ ward might sustain arising out of programs and you will be required to indemnify, hold harmless and defend the Village of Western Springs for any claims arising out of participation in Recreation Department programs.
RISK OF INJURY: "As a participant in the programs, or as a parent or legal guardian of a participant under 18 years of age, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of injuries, including death, damages, or loss which I may sustain as a result of participating in any and all activities associated with Recreation Department programs."
WAIVER OF INJURY CLAIMS: "I agree to waive and relinquish any and all claims I may have arising out of, connected with, or in any way associated with the activities of the programs."
RELEASE FROM LIABILITY: "I do hereby fully release and discharge the Village of Western Springs and its officers, agents, and employees from any and all claims from injuries, including death, damage or loss which I or my minor child/ward may have or which may occur on account of participation in the programs."
INDEMNIFY AND DEFENSE: "I further agree to indemnify, hold harmless and defend the Village of Western Springs and its officers, agents, and employees from any and all claims from injuries, including death, damages, and losses sustained by me or my minor child/ward and arising out of, connected with, or in any way associated with the activities of the programs. In the event of any emergency, I authorize the public entity to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed reasonable and necessary for my minor child’s immediate care and agree that I will be responsible for payment of any and all medical services rendered."
I have read and fully understand and agree to the above stated conditions of participation.

COVID-19 MONITORING PERMISSION
In consideration of myself and/or my child/ward being allowed to participate in the Activity, I grant the Village of Western Springs, its officials, agents or employees full permission to monitor for symptoms of COVID-19, which may include being asked a series of questions:
--Have you had a cough or a fever?
--Have you been in contact with anyone who recently traveled abroad, or anyone showing symptoms for COVID-19?
I understand and agree that if I and/or my child/ward has a temperature, shows symptoms of COVID-19 or answers any questions in the affirmative, I and/or my child/ward shall not be allowed to participate in the Activity.
I agree that I and/or my child/ward will perform a temperature scan prior to attending any Activity and will not attend the Activity if temperature is above 100.4º F. I agree not to attend the Activity if I and/or my child/ward show any symptoms of COVID-19.

I agree to contact the Village of Western Springs Recreation Department if I and/or my child/ward tests positive for COVID-19 and have attended the Activity. (Your personal information will not be shared).
Extension of Participant Liability Waiver and Hold Harmless Agreement. I hereby agree and understand that the terms and provisions of the Participant Liability Waiver and Hold Harmless Agreement contained on the Registration Form is extended to include COVID-19 exposure, infection or the monitoring of COVID-19 exposure as provided above.
I have read and fully understand and agree to the above stated conditions of participation regarding Covid-19.
Western Springs Recreation Dept and Christopher Spartz Basketball:
Blazers and Wildcats Travel Basketball Bubble

The WINTER program will be broken down into 2 Seasons.

SEASON 1: November 1-January 1
2 practices per week (14 total): all held in our Bubble at WS Rec Center; 1hr 15min practices: 2/3 CSB Skills Development Coach Run; 1/3 Coach Run

12 potential inter squad game dates on Saturdays and Sundays: all games held in our Bubble at WS Rec Center; all games coached by coaches.

Each coach will advise when their particular teams have been set.

SEASON 2:* January 1-last week of February. Season 2 will be predicated on protocol updates from our State and Governor.
*Players must commit to the first season to be a part of the second season.

With the objectives listed above, the Rec Dept and CSB Skill Development Coaches will work hand in hand with each coach to roll out a plan of attack that can be carried out and executed through January 1. Season 1 will give the CSB Skill Development Coaches a real chance to target areas that each team needs to grow and chart their growth.

Based on the rules and regulations handed down by the Governor, we will only be allowed to compete in inter squad games, which means we have to align our practice times with the teams they will be scrimmaging against. We will know what that looks like when we have our teams in place.
******PLEASE READ!!!*****

Initial Fee of $575 (less $10 tryout fee) (plus additional uniform cost (if needed)).

PROGRAM CONSENT FORM
By registering online, I acknowledge that I understand that my child will be participating in the Western Springs Blazers/Wildcats Traveling Basketball Program. I give permission for my child to participate as outlined below. *I also acknowledge that additional fees may be owed for my child's team at the completion of the season.

MEDICAL INFORMATION/CONSENT
Safety is a key concern in any athletic endeavor. Your child will be participating in many basketball practices and games during the next few months. PLEASE BE AWARE THAT THERE IS INHERENT RISK OF INJURY PLAYING BASKETBALL. If you believe this activity could endanger your child, please do not sign up or drop him/her from this program. Also, please make sure your child has had a physical checkup from his/her doctor and is physically able to participate in this strenuous activity.

Finally, due to the nature of a traveling team, the players will be playing games in other communities. If an EMERGENCY SITUATION arises involving your child, we will take quick action. The coach will make every effort to contact a child's parents, but failing to reach you, he/she will exercise his/her best judgement including making a decision to contact 911 services for assistance. The MEDICAL INFORMATION and CONSENT you provide will be with the coach during the season. If there are any questions or concerns about these items, please contact Mike Kenny at 708-246-9070 x428.

GENERAL ACTIVITY/COVID WAIVER
Please read this carefully and be aware that by registering for and participating in programs or by registering your minor child/ward for participation in programs you will be waiving your rights and/or the right of your minor child/ward to all claims for injuries you or your minor child/ ward might sustain arising out of programs and you will be required to indemnify, hold harmless and defend the Village of Western Springs for any claims arising out of participation in Recreation Department programs.
RISK OF INJURY: "As a participant in the programs, or as a parent or legal guardian of a participant under 18 years of age, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of injuries, including death, damages, or loss which I may sustain as a result of participating in any and all activities associated with Recreation Department programs."
WAIVER OF INJURY CLAIMS: "I agree to waive and relinquish any and all claims I may have arising out of, connected with, or in any way associated with the activities of the programs."
RELEASE FROM LIABILITY: "I do hereby fully release and discharge the Village of Western Springs and its officers, agents, and employees from any and all claims from injuries, including death, damage or loss which I or my minor child/ward may have or which may occur on account of participation in the programs."
INDEMNIFY AND DEFENSE: "I further agree to indemnify, hold harmless and defend the Village of Western Springs and its officers, agents, and employees from any and all claims from injuries, including death, damages, and losses sustained by me or my minor child/ward and arising out of, connected with, or in any way associated with the activities of the programs. In the event of any emergency, I authorize the public entity to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed reasonable and necessary for my minor child’s immediate care and agree that I will be responsible for payment of any and all medical services rendered."
I have read and fully understand and agree to the above stated conditions of participation.

COVID-19 MONITORING PERMISSION
In consideration of myself and/or my child/ward being allowed to participate in the Activity, I grant the Village of Western Springs, its officials, agents or employees full permission to monitor for symptoms of COVID-19, which may include being asked a series of questions:
--Have you had a cough or a fever?
--Have you been in contact with anyone who recently traveled abroad, or anyone showing symptoms for COVID-19?
I understand and agree that if I and/or my child/ward has a temperature, shows symptoms of COVID-19 or answers any questions in the affirmative, I and/or my child/ward shall not be allowed to participate in the Activity.
I agree that I and/or my child/ward will perform a temperature scan prior to attending any Activity and will not attend the Activity if temperature is above 100.4º F. I agree not to attend the Activity if I and/or my child/ward show any symptoms of COVID-19.

I agree to contact the Village of Western Springs Recreation Department if I and/or my child/ward tests positive for COVID-19 and have attended the Activity. (Your personal information will not be shared).
Extension of Participant Liability Waiver and Hold Harmless Agreement. I hereby agree and understand that the terms and provisions of the Participant Liability Waiver and Hold Harmless Agreement contained on the Registration Form is extended to include COVID-19 exposure, infection or the monitoring of COVID-19 exposure as provided above.
I have read and fully understand and agree to the above stated conditions of participation regarding Covid-19.
******PLEASE READ!!!*****

Initial Fee of $575 (less $10 tryout fee) (plus additional uniform cost (if needed)).

PROGRAM CONSENT FORM
By registering online, I acknowledge that I understand that my child will be participating in the Western Springs Blazers/Wildcats Traveling Basketball Program. I give permission for my child to participate as outlined below. *I also acknowledge that additional fees may be owed for my child's team at the completion of the season.

MEDICAL INFORMATION/CONSENT
Safety is a key concern in any athletic endeavor. Your child will be participating in many basketball practices and games during the next few months. PLEASE BE AWARE THAT THERE IS INHERENT RISK OF INJURY PLAYING BASKETBALL. If you believe this activity could endanger your child, please do not sign up or drop him/her from this program. Also, please make sure your child has had a physical checkup from his/her doctor and is physically able to participate in this strenuous activity.

Finally, due to the nature of a traveling team, the players will be playing games in other communities. If an EMERGENCY SITUATION arises involving your child, we will take quick action. The coach will make every effort to contact a child's parents, but failing to reach you, he/she will exercise his/her best judgement including making a decision to contact 911 services for assistance. The MEDICAL INFORMATION and CONSENT you provide will be with the coach during the season. If there are any questions or concerns about these items, please contact Mike Kenny at 708-246-9070 x428.

GENERAL ACTIVITY/COVID WAIVER
Please read this carefully and be aware that by registering for and participating in programs or by registering your minor child/ward for participation in programs you will be waiving your rights and/or the right of your minor child/ward to all claims for injuries you or your minor child/ ward might sustain arising out of programs and you will be required to indemnify, hold harmless and defend the Village of Western Springs for any claims arising out of participation in Recreation Department programs.
RISK OF INJURY: "As a participant in the programs, or as a parent or legal guardian of a participant under 18 years of age, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of injuries, including death, damages, or loss which I may sustain as a result of participating in any and all activities associated with Recreation Department programs."
WAIVER OF INJURY CLAIMS: "I agree to waive and relinquish any and all claims I may have arising out of, connected with, or in any way associated with the activities of the programs."
RELEASE FROM LIABILITY: "I do hereby fully release and discharge the Village of Western Springs and its officers, agents, and employees from any and all claims from injuries, including death, damage or loss which I or my minor child/ward may have or which may occur on account of participation in the programs."
INDEMNIFY AND DEFENSE: "I further agree to indemnify, hold harmless and defend the Village of Western Springs and its officers, agents, and employees from any and all claims from injuries, including death, damages, and losses sustained by me or my minor child/ward and arising out of, connected with, or in any way associated with the activities of the programs. In the event of any emergency, I authorize the public entity to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed reasonable and necessary for my minor child’s immediate care and agree that I will be responsible for payment of any and all medical services rendered."
I have read and fully understand and agree to the above stated conditions of participation.

COVID-19 MONITORING PERMISSION
In consideration of myself and/or my child/ward being allowed to participate in the Activity, I grant the Village of Western Springs, its officials, agents or employees full permission to monitor for symptoms of COVID-19, which may include being asked a series of questions:
--Have you had a cough or a fever?
--Have you been in contact with anyone who recently traveled abroad, or anyone showing symptoms for COVID-19?
I understand and agree that if I and/or my child/ward has a temperature, shows symptoms of COVID-19 or answers any questions in the affirmative, I and/or my child/ward shall not be allowed to participate in the Activity.
I agree that I and/or my child/ward will perform a temperature scan prior to attending any Activity and will not attend the Activity if temperature is above 100.4º F. I agree not to attend the Activity if I and/or my child/ward show any symptoms of COVID-19.

I agree to contact the Village of Western Springs Recreation Department if I and/or my child/ward tests positive for COVID-19 and have attended the Activity. (Your personal information will not be shared).
Extension of Participant Liability Waiver and Hold Harmless Agreement. I hereby agree and understand that the terms and provisions of the Participant Liability Waiver and Hold Harmless Agreement contained on the Registration Form is extended to include COVID-19 exposure, infection or the monitoring of COVID-19 exposure as provided above.
I have read and fully understand and agree to the above stated conditions of participation regarding Covid-19.
Ages: 9 years to under 11 years
Gender: Male Only
Open to These Grades: 4th - 4th
Dates\Days\Locations:
Date Day Location
09/18/2020 - 02/15/2021 Sun, Sat
1500 Walker Street
Western Springs IL, 60558
(708)246-9070 / (708)246-1309
Web Reg Available to:
Non-Resident: 08/26/2020 @ 12:00A - 12/01/2020 @ 12:00A
Resident: 08/26/2020 @ 12:00A - 12/01/2020 @ 12:00A