Who We Are
WHAT WE DO
WHO WE SERVE
HOW TO HELP
OUR TEAM
CWS Volunteer Registration
CWS Basketball Registration
Who We Are
WHAT WE DO
WHO WE SERVE
HOW TO HELP
OUR TEAM
CWS Volunteer Registration
CWS Basketball Registration
BASKETBALL REGISTRATION
Welcome to Chicago Westside AND now Southside Police and Youth basketball! Upon registration, each child will be invited to attend the virtual training sessions. A link for these zoom virtual trainings will be sent approximately one hour before each training. Virtual trainings will be held on Tuesday's and Thursday's from 5:00pm - 6:15pm and will begin on Tuesday, December 8 continuing through December 22.
We will take a break on December 24, and pick up again on December 29.
Virtual trainings will begin again January 5 and continue until mid to late January, or when we are given clearance to meet in person. During the high energy virtual training sessions, a qualified instructor will lead the athletes and their coaches in stretches, cardio conditioning and in-home basketball drills. There will also be discussion about health, nutrition, and current events based on Allan Houston's mentoring program FISLL. The hour long virtual trainings end in a drawing for a gift card.
Due to the extremely limited number of spots per team that will be available, each player will be evaluated on their virtual training attendance. If your child attends virtual training regularly, it is highly likely they will be placed on a team. If they only attend once, it is very likely a spot will not be available. All registered youth will have access to virtual mentoring, conditioning and skill training.
A condensed game schedule will begin as soon as we get clearance with the season extending through March. At the first in-person training, each player will be issued a personalized equipment bag containing masks, hand sanitizer, and all equipment they will need, including their own basketball. Any shared equipment will be sanitized before, during, and after practice. Basketballs and other issued equipment will be taken home after each practice to prevent equipment sharing. All possible safety measures including, social distancing and limited number of players per square foot of court space will be monitored. Coaches have been instructed to include drills and conditioning that keep participants spread out.
If you have any questions, please contact Stephanie at smarquardt@cityofrefugechicago.org .
Looking forward to a great season!
*
Indicates required field
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone Number
*
Are you or your child affiliated with any faith-based or other organization? If so, what is the name? (This information is for team placement.)
*
Parent/Guardian Email
*
Which location do you prefer?
*
Roseland (5th Police District)
Englewood (7th Police District)
North Lawndale (10th Police District)
Garfield Park (11th Police District)
Austin South (15th Police District)
Austin North (25th Police District)
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Would you like to volunteer?
*
Yes
No
Not sure, contact me
Child/Player's Name
*
First
Last
Child/Player's Gender
*
Male
Female
Child/Player Birthdate
*
Please list your child/players' birthdate in this format: month/day/year (03/19/2010)
What school does your child/player attend?
*
Current Grade
*
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th grade
Other
If you do not see the correct grade listed, please select "Other."
Is the Child/players address the same as above?
*
Yes
No
If there is an alternative address please list that here:
*
Line 1
Line 2
City
State
Zip Code
Country
Jersey Size
*
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult XXL
Pant Size
*
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult XXL
Shoe Size
*
Emergency Contact Name:
*
Emergency Contact Phone Number
*
Allergies or special circumstance we should be aware of:
*
Health Insurance
*
Medical Release - As the parent/legal guardian of the athlete I am registering for participation. I hereby authorize City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee, its agents, employees, volunteers and other officers to procure and consent to any medical emergency treatment, including hospital care, to be rendered to my child by or under the supervision of a licensed healthcare provider. The parent/legal guardian is responsible for any fees or costs. By choosing I accept it represents consent and agreement to the matters stated above. Waiver and Release In consideration of the risk of injury while participating in Basketball (the 'Activity') and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my child or ward’s participation in the Activity, and do hereby release and forever discharge City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee of Illinois, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that my child or ward may suffer as a direct result of my child or ward’s participation in the aforementioned Activity, including traveling to and from an event related to this Activity. I am having my child or ward voluntarily participate in the aforementioned Activity entirely at my own risk. I am aware of the risks associated with traveling to and from as well as my child or ward participating in this Activity, which may include, but are not limited to, physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and death. I understand that these injuries or outcomes may arise from my child or ward’s own or others’ negligence, conditions related to travel, the condition of the Activity locations(s) and the activity itself. Nonetheless, I assume all related risks, both known or unknown to me, of my child or ward’s participation in this Activity, including travel to, from and during this Activity. I as the parent or guardian of the participant agree to indemnify and hold harmless City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by the participant or parent and next friend or guardian of the participant including attorney’s fees and any related costs, if litigation arises pursuant to any claims made by the participant or parent and next friend or guardian of the participant. If City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee incurs any of these types of expenses, I agree to reimburse City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee. I acknowledge that City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of the City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee. I acknowledge that this Activity may involve a test of a person’s physical and mental limits and may carry with it the potential for death or serious injury. The risks may include, but are not limited to, those caused by facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, referees and tournament officials. I acknowledge that I have carefully read this 'Waiver and Release' and fully understand that it is a release of liability. I expressly agree to release and discharge City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee and all of its affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, from any and all claims or causes of action I may have and my child or ward may have and agree to voluntarily give up or waive any right that my child or ward otherwise have to bring a legal action against City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee for personal injury or property damage. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee, its agents, and employees. In the event that my child or ward should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance. In the event that any damage to equipment or facilities occurs as a result of my or my family’s willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness. This Agreement was entered into at arm’s-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both the Parent or Guardian of the Participant, and City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic or Lifezone 360 West Dundee agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will he used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into. In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the patties. If a court should find that any provision of this agreement is invalid or unenforceable but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited. I also give the City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic, its coaches or volunteers’ the right to copyright and/or publish, reproduce, or otherwise use my child’s name, voice, and likeness and/or photographs, and audiovisual recordings that include my child for instruction, advertising, program website publications, brochures or any other lawful purpose whatsoever. I hereby authorize and give my full legal consent for City of Refuge – Chicago, Chicago Westside Police and Youth Sports, Lifezone Basketball, A2Zoe Basketball Elite, Illinois Magic to apply for membership to the AAU on behalf my child. I understand that this consent for application includes agreeing to comply with all the provisions of the AAU Code, including its constitution, bylaws, policies, procedures, regulations and rules, I hereby agree to relinquish all rights, title and interest I may have in the finished product and waive all rights to any compensation thereof.
*
I Agree
Submit
