CATHOLIC YOUTH MINISTRY
DIOCESE OF WILMINGTON
ST. MARY MAGDALEN PARISH
ATHLETIC REGISTRATION FORM
City: ___________________ State: ______
Zip: __________ Phone: ______________
Date of Birth: _____________ School:
____________________________
Grade (during season): _____
Email Address (parent/guardian): _________________________________
Are you registered with a Diocese of Wilmington Parish: Yes
/ No (Circle One)
If yes, which Parish:
_________________________________________________________
Do you participate in any other activities during the
season? Yes /
No (Circle One)
Other Activities:
____________________________________________________________
Could these activities conflict with this CYM
activity? Yes / No (Circle One)
Please explain: _____________________________________________________________
CYM rules prohibit individuals in
8th grade through 12th grade from participating on a CYM
parish team and any high school team (Freshman, JV, Varsity. etc.) in the same
sport. I hereby give my consent for
the above named individual to participate in CYM athletics during the current
program year. I recognize that there
are certain risks of physical injury in playing competitive athletics. Excluding intentional, deliberately
inflicted and illegally caused injuries, I further agree, in consideration with
CYM’s sponsorship of beneficial athletic competition, to release the office of
the Catholic Youth Ministry of the Diocese of Wilmington, the Catholic Diocese
itself, the St. Mary Magdalen Parish, and all of their employees, directors,
administrators, coaches, and staff from all legal liability for accidental
injuries suffered by my child as a result of participation in athletic
activities, or travel to and from any athletic event. Providing, however, that recourse is
reserved to seek damages, medical and hospital expenses, and court costs for any
such accidental injuries to my child incurred during a scheduled event from any
liability insurance carrier within the limits of its liability policy. I affirm that the information above is
true and correct. I agree to
complete the online CYM registration, providing additional medical information
as required.