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MEN'S BASKETBALL - Riverland Hills Baptist Church

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Emergency Information<br />

Is a program supervisor authorized to approve<br />

medical treatment?  Yes  No<br />

Are you covered by personal/family medical<br />

insurance?  Yes  No<br />

Name of insurer: ________________________<br />

● Policy/group number:____________________<br />

Emergency Contact: _______________________<br />

Phone Number:___________________________<br />

By submitting this registration form, you acknowledge<br />

that you have read and agree to the Participation Agreement<br />

and the Photo/Video Permission Release as outlined<br />

below. Any objections need to be in writing and<br />

submitted with your form.<br />

Participation Agreement<br />

The participant acknowledges and accepts the risk of physical<br />

injury associated with participation in the activity described.<br />

Except for gross negligence on the part of the sponsor, that<br />

participant accepts personal financial responsibility for any bodily<br />

or personal injury sustained during the activity. Further, the<br />

participant promises to hold harmless the sponsoring organization<br />

and its representatives for any injury related to the activity.<br />

If a dispute over this agreement or any claim for damages<br />

arises, the participant agrees to resolve the matter through a<br />

mutually acceptable arbitration process.<br />

Photo/Video Permission and Release<br />

I hereby authorize <strong>Riverland</strong> <strong>Hills</strong> <strong>Baptist</strong> <strong>Church</strong> (RHBC) and/or<br />

their agents to use photograph(s) I supply on the RHBC website.<br />

I also understand that photographs and/or videos may be taken<br />

during local/on campus/off campus events and that these may<br />

also be used. I specifically understand that RHBC shall hereby<br />

retain any and all rights in respect to the photograph(s) and/or<br />

video/film project(s) and/or website/internet project(s), including<br />

but not limited to, the rights to reproduce, copy/edit, exhibit,<br />

publish, or distribute such photograph(s) and/or video/film project(s)<br />

and/or website/internet project(s).<br />

For Office Use Only<br />

Date: ___________<br />

Amount: $_______ Cash □ Check # _________<br />

<strong>Riverland</strong> <strong>Hills</strong> recLife <strong>Baptist</strong><br />

<strong>Church</strong> Recreation Ministry<br />

Relational. Intentional.<br />

Welcome These two to words the <strong>Riverland</strong> best describe <strong>Hills</strong> Recreation<br />

ministry. Ministry! There If you is a are desire looking inside<br />

the<br />

recLife<br />

for each an of avenue us for real, to connect authentic with relationships.<br />

who have It is the within same recLife recreational groups that in-<br />

others<br />

such terest relationships as you, then can you’ve be formed come as to we<br />

play together, the right pray place. together, laugh<br />

together, and learn together.<br />

It is our mission to intentionally<br />

It share is our the mission love of to Jesus intentionally Christ share and<br />

the<br />

provide<br />

love of<br />

opportunities<br />

Jesus Christ<br />

to<br />

and<br />

grow<br />

provide<br />

in a<br />

opportunities<br />

relationship<br />

to<br />

with<br />

grow<br />

him<br />

in relationship<br />

through recreation,<br />

sports and leisure activities.<br />

with<br />

him through recreation, sports and<br />

leisure activities.<br />

So, whether it’s team sports, outdoor<br />

adventures, or relaxing hob-<br />

Whether it’s team sports, outdoor adventures<br />

or relaxing hobbies, we look<br />

bies, we look forward to you being<br />

forward to helping you plug into one of<br />

our<br />

plugged<br />

recreational<br />

in to one<br />

groups.<br />

of our<br />

For<br />

recreational<br />

more information<br />

groups.<br />

on<br />

If<br />

RHBC<br />

you would<br />

recLife,<br />

like<br />

please<br />

more<br />

visit<br />

information<br />

on the Recreation Minis-<br />

www.riverlandhills.org/recreation.asp.<br />

try, please to contact Joel Sellers at<br />

joel@riverlandhills.org.<br />

MEN’S<br />

<strong>BASKETBALL</strong><br />

Spring 2010<br />

Division Coordinators<br />

Ages 25+<br />

Robbie Kinard<br />

robbiekinard@sc.rr.com<br />

Ages 37+<br />

David Gainey<br />

zeekcat5@bellsouth.net<br />

Recreation Ministry Director<br />

Jonathan Johnson<br />

Jonathan@riverlandhills.org


Registration Information<br />

Two divisions: Ages 25+ & Ages 37+<br />

Player Eligibility: 25 years old or 37<br />

years old by January 1, 2010<br />

Registration Fee: $45.00 per player<br />

Deadline: March 8, 2010 37+<br />

March 11, 2010 27+<br />

League limited to the first 64 men to<br />

register for each division<br />

Registration is considered incomplete<br />

without submission of form and<br />

payment<br />

Players will not be drafted without<br />

completed registration!<br />

Register online at:<br />

www.riverlandhills.org/recreation.asp<br />

($3 surcharge is added to all online registrations)<br />

OR<br />

Bring or mail registration to:<br />

<strong>Riverland</strong> <strong>Hills</strong> <strong>Baptist</strong> <strong>Church</strong><br />

Recreation Ministry<br />

201 Lake Murray Boulevard<br />

Irmo, SC 29063<br />

Completed registrations may also be<br />

delivered to the RHBC office during<br />

business hours.<br />

recLife Men’s Basketball<br />

League Information<br />

League Schedule<br />

Registration Deadline: March 8<br />

Evaluations: 25+ - March 2 & 11, 6:30 pm<br />

37+ - March 1 & 8, 6:30 pm<br />

Draft Night:<br />

25+ - March 16, 6:30 pm<br />

37+ - March 15, 6:30 pm<br />

Practice Game: 25+ - March 25<br />

37+ - March 22<br />

Games Begin: March 29 & April 1<br />

Tournament Begins: week of June 1<br />

Championship Games: June 14 & 17<br />

League Format<br />

7-game regular season<br />

Two bye weeks per team<br />

“Slow-break rules” for 40+ division<br />

Single-elimination tournament<br />

Game Information<br />

Location: RHBC Gymnasium<br />

Game Nights:<br />

37+ - Mondays<br />

25+ - Thursdays<br />

Game Times: 6:30, 7:30, & 8:30*<br />

* Limited number of 9:30 games<br />

Evaluation Nights (see dates/times above)<br />

Players must attend at least one evaluation.<br />

New players must attend both evaluations of<br />

appropriate division.<br />

Draft Night (see dates/times above)<br />

All players must attend.<br />

Players will be drafted as individuals not as a<br />

group or team.<br />

Registration Form<br />

recLife Men’s Basketball<br />

Date:____________<br />

Division:  25+  37+<br />

Players ages 37+ may register for both divisions for $90.<br />

Name: _________________________________<br />

Address: _______________________________<br />

City: _____________ St: ______ Zip: ________<br />

Hm Phone: _____________________________<br />

Wk Phone: ______________________________<br />

Cell Phone: _____________________________<br />

E-Mail: _________________________________<br />

Birthdate: _____/_____/______<br />

Height: ___________<br />

Age: ________<br />

Weight: ___________<br />

Position:  PG  SG  SF  PF  C<br />

Jersey Size:  Med  Large  XL  XXL<br />

I would coach if needed:  Yes  No<br />

Do you regularly attend a local church?<br />

 Yes  No<br />

If so, where do you attend?<br />

_________________________<br />

OVER

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