PARENTAL CONSENT: I, ____________________________, desire for my child, __________________________, to participate as a ball boy/girl of East Central University (ECU) (the “Activity”) and do hereby give my consent to allow my child to participate in the Activity. I certify that my child is physically and mentally able to participate in the Activity and that my child will follow all appropriate safety precautions and instructions. I am aware that ECU will not be liable for injuries that may occur during participation. I therefore voluntarily agree to assume all risks and responsibilities in any way associated with this Activity.
THANK YOU FOR YOUR SUPPORT OF TIGER ATHLETICS!
In consideration of and return for services, facilities, and other assistance provided to me by ECU in this Activity, I release ECU, its governing board, officers, agents, employees, and any students acting as employees (the “Releasees”), from and against any and all liability, claims, demands and actions that may arise from injury or harm to me or my child in connection with this Activity. I understand that this Release covers liability, claims and actions caused entirely or in part by any acts or failures to act of ECU, including but not limited to negligence, mistake, or failure to supervise by ECU. I acknowledge that ECU does not carry life, health, or accident insurance on my child. ECU has advised me that I will be responsible for any medical charges which my child may incur if my child is injured during the Activity and that ECU has encouraged me to secure my own such insurance. THIS GENERAL RELEASE WAIVER OF LIABILITY IS ALSO BINDING ON THE STUDENT’S AND/OR THEIR PARENTS’/ LEGAL GUARDIAN’S PERSONAL REPRESENTATIVES, HEIRS, AND ASSIGNS. THIS IS A RELEASE OF LEGAL RIGHTS. READ AND BE CERTAIN YOU UNDERSTAND IT BEFORE SIGNING.
Questions? Contact: EAST CENTRAL UNIVERSITY ATHLETICS ROARY’S KIDS CLUB
1100 E. 14th St. PMB-L8 Ada, OK 74820 580-559-5261
________________________________________________ Parent/Guardian Signature ________________________________________________ Date Tear off application & mail to:
East Central University’s mission is to foster a learning environment in which students, faculty, staff, and community interact to educate students for life in a rapidly changing and culturally diverse society. Within its service area, East Central University provides leadership for economic development and cultural enhancement.
East Central University Athletics Roary’s Kids Club 1100 E. 14th St. PMB-L8 Ada, OK 74820
East Central University, in compliance with Title VI and Title VII of the Civil Rights Act of 1964 (as amended), Executive Order 11246 (as amended), Title IX of the Education Amendments of 1972, Sections 503 and 504 of the Rehabilitation Act of 1973 (as amended), the Americans With Disabilities Act of 1990, the Civil Rights Act of 1991, and other federal and state laws, does not discriminate on the basis of race, color, national origin, sex, age, religion, disability, sexual orientation or status as a veteran in any of its policies, practices or procedures. This includes, but is not limited to, admissions, employment, financial aid, and education services. This publication is printed and issued by East Central University as authorized by Title 70 OS 1981, Section 3903. 150 copies have been prepared and distributed at a cost of $45.00. Copies have been deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries in compliance with Section 3114 of Title 65 of the Oklahoma Statutes. 08/16
Roary’s Kids Club sponsored by
Why join Roary’s Kids Club? Roary’s Kids Club is the official kids club of East Central University Athletics and was created to introduce young kids and families to East Central University. You will have the opportunity to experience a family-friendly environment through our collegiate sports events and enjoy some rewards along the way.
Join Roary’s Kids Club and enjoy these rewards:
Official Membership Card & Lanyard
Official Roary’s Kids Club T-shirt
Free admission to all 2016-2017 regular season games
Roary’s Kids Club Application PLEASE PRINT ALL INFORMATION Member’s Name:___________________________________ Address: _________________________________________ ________________________________________________
Phone: ___________________________________________
Opportunity to sign up as a Game Day Ball Boy/Girl for basketball
Name entered in drawing to be “Honorary Kids Club Member of the Game” — Which means the winner’s name will be highlighted on the scoreboard and they will receive an autographed team ball
We want you to experience the best of Tiger Athletics!
Opportunity to meet ECU studentathletes & coaches Birthday Card from Roary
Fill out the attached application
and return it to ECU Athletics to join today!
Email: ___________________________________________ Parent(s) Name: ___________________________________ ________________________________________________ Age: __________Grade: _________Birthday: ___________ *Please note: Roary’s Kids Club is offered only to kids 8th grade & below per NCAA rules & regulations
School: __________________________________________
T-shirt Size (circle one): Youth Small Adult Small
Youth Medium Adult Med.
Youth Large
Adult Large
Adult XL
Membership is Free! (Membership valid for 2016-2017 athletic season) My child would be interested in being a Ball Boy/ Girl for (circle one):* Men’s Basketball
Women’s Basketball
*Must be at least 7 years of age to be a Ball Boy/Girl
The athletic office will be in contact with you to schedule games for which your child may be available to be a ball boy/girl. *Please be sure to complete waiver form on the back of this application