Assembly Sports

Assembly Sports Registration Form

Welcome to Assembly Sports!

We are thrilled to invite you to join our vibrant sports community, where you can dive into multiple sports and experience the thrill of Christ-centered competition. Whether you're a seasoned athlete or new to the game, Assembly Sports offers a range of sports to suit every skill level and interest. From basketball to softball to volleyball, our diverse lineup of sports ensures there is something for everyone. Get ready to lace up your sneakers, grab your gear, and dive into the action-packed world of Assembly Sports. Sign up now to unleash your athletic potential and be part of an exciting sports journey with us!

Guidelines for Activity Center:

Each person must fill out this form to participate in Open Play or League Play.
Children 15 years and younger must be accompanied by a parent/guardian.
Different sports will cater to different ages.
Gym shoes must be worn when playing on the court, street shoes are not permitted.
Concessions will be available during Open Play and League Play.
No outside food or drink will be allowed on the premises.
Only closed-lid drink containers will be allowed in the gym. Feel free to enjoy your concessions in the Main Lobby.

Sport	Cost	Schedule
Open Play	$2 per person per visit	Sundays 2 PM - 5 PM
Co-Ed Softball League	$65 per person	June 1st - July 27th
Co-ed Pickleball	$30 per person	May 4th-July 27th

If you are signing up for leagues select "I need to sign up for leagues!" If you only want to attend Open Play select "I just need the waiver for Open Play!"

If you plan on doing both you just need to sign up for leagues! The waiver is the same for both Open Play and League Play! You are automatically registered for Open Play when you sign up for leagues.
Where would you like to go?*

I need to sign up for Leagues!I just need the waiver for Open Play!

For RAPID CHECK-IN use your Player ID! Your "player ID" is the last four of your cellphone and your four-digit birth year. You can only use a player ID if you have registered for a league in the past or have a valid waiver on file.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Gender*
Age*
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Phone*
Please enter a valid phone number.
Parent/Guardian's Email*
example@example.com
What sports/activities are you registering for?*

Co-ed Softball League (June 1st - July 27th)Co-ed Pickleball League (May 4th-July 27th)
What sports/activities are you interested in?*

Emergency Contact Information (Activity Waiver)

To be completed by participant 18 years and older or authorized guardian. The sponsoring organization is The Assembly at Broken Arrow. The sponsor's contact is Zak Swalley at 918-251-8591.
Emergency Contact*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Participant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List of allergies or medical conditions.*
Participant's Birthdate*

MonthDayYear
Date
Is sponsor authorized to approve medical treatment?*

YesNo
Is participant covered by personal/family medical insurance?*

YesNo
Name of insurer:*
Policy or group number:*
Participation Agreement
I, {parentguardian} {name18}, acknowledge that participation in the activity described above involves risk to the participant (and to the participant’s parents or guardians, if the participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, exposure to infectious/communicable disease, bodily injury, death, emotional injury, personal injury, property damage, and financial damage.

In consideration for the opportunity to participate in the following activities:{basketball} {volleyball} {pickleball} {softball} {flagFootball188} {kickball} described above (the “activity”), the participant (or parent/guardian if the participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the activity. The participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the activity or during transportation to and from the activity, as well as for any medical treatment rendered to the participant that is authorized by the sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to as the “activity sponsor”). Further, the participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the activity sponsor for any injury arising directly or indirectly out of the described activity or transportation to and from the activity, whether such injury arises out of the negligence of the activity sponsor, the participant, or otherwise. The participant (or parent/guardian) and the activity sponsor agree that any dispute over this agreement or any claim for damages shall be litigated in Tulsa County, State of Oklahoma. If a dispute over this agreement or any claim for damages arises, the participant (or parent/guardian) agrees to resolve the matter through mediation. If the participant (or parent/guardian) and the activity sponsor cannot resolve the claim through mediation, the dispute will be submitted to a three-member arbitration panel for resolution in accordance with the rules of the American Arbitration Association.
Date*

MonthDayYear
Date
Signature (Draw here)*

Clear
I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent by applicable law.*

I understand.

Sponsor's Address
3500 W. New Orleans St. Broken Arrow, OK 74011
Parent/Guardian
Basketball
Kickball
Volleyball
Pickleball
Softball
Flag Football
Sponsor Phone
Sponsor
Sponsor's Coordinator
Sponsor Coordinator Phone
Sports Calculations
Minor Sports Calculations
Registration Total
Thank you for filling out the waiver! You have not registered for any sports but now have a valid waiver on file. You can revisit this site anytime and use your Player ID. Your Player ID is the last four digits of your cell phone number and the year you were born.

Should be Empty:

Assembly Sports Registration Form

Basketball Season 2024

Co-Ed Volleyball Season 2025

Overview:

Flag Football 2024

Overview:

Double's Pickleball League

Overview:

Cornhole

Softball League 2025

Emergency Contact Information (Activity Waiver)

Participation Agreement

Thank you for filling out the waiver! You have not registered for any sports but now have a valid waiver on file. You can revisit this site anytime and use your Player ID. Your Player ID is the last four digits of your cell phone number and the year you were born.

Credit Card