2. 
   
   
4. Player Information
6. Player Last Name*
7. Player First Name*
9. Birth Date*
10. Age*
12. Parent Email Address*
14. Telephone Number*
16. Address*
18. Apartment Number
20. City
21. State*
22. Zip Code*
24. Shirt Size*
    -- Select One --Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult 2X
25. Grade*
27. In Case of Emergency Call
29. Emergency Contact Name*
31. Emergency Contact Phone*
33. Emergency Contact Relationship to Player*
35. Medical Information
37. Illness/Allergies
39. Medications
41. Special conditions/concerns:
43. Waiver of Liability Release Form
45. In consideration of being permitted to participate in SPAR or other City related activities; I and the City, agree as follows:
    I hereby agree to indemnify, release, defend, and hold SPAR and the City of Shreveport, and all of its members, officers, agents and employees, both paid and voluntary, hereinafter referred to as “RELEASEES”, harmless of and from any and all liability, claims, suits, or cause(s) of action which may arise, regardless of whether caused by the negligence of RELEASEES, from bodily injury, death or property damage, to me, or my children, or to third persons as a result of my, or my child’s, participation in the activities. I have been fully advised to the terms of the event and hereby agree to perform and consent to my participation, as well as my child’s participation, in the activities. I release RELEASEES from any claim whatsoever on account of first aid, treatment, or service rendered to me or my children during participation in the activities. I give SPAR and the City of Shreveport permission to photograph my child or myself for the purpose of publicizing events and/or programs. The terms of this release are contractual and not a mere recital.
47. Player Signature*
48. Date*
Leave This Blank:


49. Submit

* indicates a required field