Intramural and Club Sports
Registration Form

Student     Employee

Name:

Student ID #:

Phone #: (Cell)  (Home)

Email:

Sport:
Volleyball    Tennis
Basketball    Soccer
Flag Football    Raquetball - Handball
Softball

I am registering with a team.

Team Captain:

I am registering as an individual.


I realize the hazards and liabilities that might be incurred by my participation in this event. I understand the risks of my participation and do hereby release any and all claims for myself and my heirs against Lone Star College System and its staff, or anyone associated with Lone Star College System in anyway, or any responsibility or liability in case of personal injury sustained by me or damage to the property of others caused by me during or because of participation in the activities of the organization shown above. I further state that I am in adequate physical condition to participate in this activity. I understand that it is strongly recommended that each participant in this program purchase insurance which covers accidents which may occur during participation in all activities.

I understand the terms stated above.



Tabitha Yargo - Coordinator
lscmsports@lonestar.edu
936-271-6124
Lone Star College - Montgomery
3200 College Park Drive - Conroe - TX - 77384
936-273-7000
Copyright@ 2008
LSC - Montgomery