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Sports and Facilities North - League Team Contact Information

  1. Managers / Head Coaches are responsible for submitting the following form prior to attending games at JCPRD facilities. Each participating player must be listed along with the two adults who will most likely attend in support of each player. All contact information must be complete. Failure to submit this form, with complete information, by the deadline listed for your league, may result in the forfeit of games. Information provided here may be released only to County or State agencies upon request in response to possible Covid-19 exposure.

  2. JCPRD Form Center Header

  3. LEAGUE TEAM INFORMATION & MAIN CONTACT

    This form is for LEAGUE TEAMS. If your team is only renting courts/fields, please submit the version for RENTAL TEAMS. In addition to this form, LEAGUE TEAMS must also submit 1)Coaches Code of Conduct and 2)Team Roster, before practicing or playing games at JCPRD locations.

  4. Team Sport*

  5. Is the person completing this form the Manger / Head Coach listed above?*

  6. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. I attest that the information below is accurate to the best of my knowledge and I have received permission to share this information with JCPRD with the understanding that it may be released to County or State health agencies upon request in response to possible Covid-19 exposure.

  8. All players must be listed below with complete information. Players with blank fields will be unable to participate until required information is submit.

  9. PLAYER 1

  10. Is this player on your team?*

  11. PLAYER 2

  12. Is this player on your team?*

  13. PLAYER 3

  14. Is this player on your team?*

  15. PLAYER 4

  16. Is this player on your team?*

  17. PLAYER 5

  18. Is this player on your team?*

  19. PLAYER 6

  20. Is this player on your team?*

  21. PLAYER 7

  22. Is this player on your team?*

  23. PLAYER 8

  24. Is this player on your team?*

  25. PLAYER 9

  26. Is this player on your team?*

  27. PLAYER 10

  28. Is this player on your team?*

  29. PLAYER 11

  30. Is this player on your team?*

  31. PLAYER 12

  32. Is this player on your team?*

  33. PLAYER 13

  34. Is this player on your team?*

  35. PLAYER 14

  36. Is this player on your team?*

  37. PLAYER 15

  38. Is that player on your team?*

  39. Leave This Blank:

  40. This field is not part of the form submission.