3v3 Basketball Team Registration Form

Have you completed online team captain registration and team fee payment? Team roster form submitted without team captain registration will be discarded.

Yes

Copy and paste to pay the team fee: https://cityofsantabarbara.perfectmind.com/

Team Captain Cell Phone Number

Team Captain Email

Team Name

2.) Team Mate (18+ years)

First and Last Name *

Cell Phone Number *

Email Address *

3.) Team Mate (18+ years)

First and Last Name *

Cell Phone Number *

Email Address *

4.) Team Mate (18+ years)

First and Last Name

Cell Phone Number

Email Address

5.) Team Mate (18+ years)

First and Last Name

Cell Phone Number

Email Address

6.) Team Mate (18+ years)

First and Last Name

Cell Phone Number

Email Address

Select Sport & Division by checking all that apply below:

3v3 Basketball League: A-Division

3v3 Basketball League: B-Division

3v3 Basketball League: C-Division

Team Captain Signature REQUIRED

First Name

Last Name

Choose how to sign

Draw Type

CODE OF CONDUCT: By checking the box, you acknowledge that you have read & fully understand the City of Santa Barbara Parks & Recreation Department “Code of Conduct” & do thereby for yourself or on behalf of your teammates, agree to abide by its policies and conditions exactly as written. See back of this form. CITY OF SANTA BARBARA RELEASE AGREEMENT IN CONSIDERATION OF BEING PERMITTED TO PARTICIPATE IN THIS CITY ACTIVITY OR USE OF ANY CITY FACILITIES IN CONNECTION WITH THIS ACTIVITY, THE UNDESIGNED AGREES TO THE FOLLOWING: 1. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES & COVENANTS NOT TO SUE THE CITY OF SANTA BARBARA, ITS EMPLOYEES, next of kin for any loss, damage, or claim therefore on account of injury to the person or property of the undersigned, whether caused by any negligent act or omission of the releases or otherwise while the undersigned is participating in the City activity or using any City facilities in connection with the activity. 2. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND HOLD HARMLESS the releasee’s right to establish the releasee’s right to indemnify or incurred on appeal resulting from involvement in this activity whether caused by any negligent act or omission of the releasee's of otherwise. 3. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAME while upon City property or participating in the activity or using any City facilities & equipment whether caused by any negligent act or omission of releasee's or otherwise. The undersigned expressly agrees that the foregoing release and waiver, indemnity agreement & assumption of risk are intended to be as abroad and inclusive as permitted by California law and that if any portion thereof be held invalid, not with standing ,the balance shall continue in full legal force & effect.I acknowledge that I have read the foregoing and that I am aware of the legal consequences of this agreement, including that it prevents me from suing the City or its employees, agents, or officers if I am injured or damaged for any reason as a result of participation in this activity. I further acknowledge that no oral representations, statements or inducements have been made.