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Sport Clubs

CWU Sport Club Individual Registration

The individual registration may take between 20-40 minutes to complete. This must be completed in one sitting, as this form cannot be saved and completed later. Do not click the "Back" button on your browser, or all of your information will be erased. To make the process move more quickly, please gather your health insurance, driver's license, and car insurance information.

MM/DD/YY (Must be 18 or older to participate)

High School/Previous College(s) Attended:

Contact Information:




I am aware that trying-out for, playing or practicing in any sport or recreational activity can be a dangerous activity involving many risks or injury. I understand that the dangers and risks of trying-out for, playing or practicing in the above sport(s) include, but are not limited to: death, serious neck and spinal injuries which may result in complete or partial paralysis or brain damage, serious injury to any and all bones, joints, ligaments, muscles, tendons and other aspects of my body, general health and well-being. I furthermore specifically acknowledge that participation in Central Washington University Recreation programs may involve a risk of injury and that participation in such requires an acceptance of risk of injury. I rightfully assume that those who are responsible for the conduct of sports have taken reasonable precautions to minimize such risk and that peers participating in the sport will not intentionally inflict injury upon others or me.

In consideration of Central Washington University permitting me to practice, play, try-out for or otherwise associate myself with the Central Washington University Recreation program, I, exercising my own free choice, voluntarily agree to participate in such activities, promising to take due care during such participation. I hereby acknowledge that I have been informed of the nature of the above named activities, including the risks of bodily injury, death or damage to property which may occur from known or unknown causes. I understand and hereby voluntarily accept and assume all risks associated with such participation and agree to discharge and release the state of Washington, the Washington State Board of Education, Central Washington University and their agents, servants and employees from any and all liability, claims, causes of action or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to the Central Washington University Recreation program, so long as the conduct which caused the injuries or damages was not grossly negligent or willful and wanton. I will accept the personal and financial responsibility of such injuries and any expenses incurred for physician visits, exams, and diagnostic tests or otherwise that are related to

injuries suffered while participating in any try-out shall be my sole responsibility and not in any way the responsibility of Central Washington University or its agents, servants, or employees.
Because of the inherent dangers of participating in a contact or other type of sport, I recognize the importance of following the coach’s instructions regarding playing techniques, training rules of the sport and other team rules, and agree to obey such instructions.

I also understand that I MUST provide proof of comprehensive medical insurance in order to be allowed to participate in any try-out or take part in recreation athletics at Central Washington University. I also understand that I will be required to obtain the clearance of a physician, via a participation physical examination, to participate. I further understand that irrespective of the clearance of the team physician, I may be at greater risk of suffering injury, illness or death as a result of my participation. For the specific additional risks associated with my participation, I understand I should consult with my personal physician and specialist, in addition to the team physician. By continuing to participate in Central Washington University Recreation programs despite these additional risks, I agree to assume these additional risks and waive any claims I may have as set forth more fully in each of the above paragraphs.

I have had sufficient time to review and seek explanation of the provisions contained above, have carefully read them, understand them fully and agree to be bound by them. The terms hereof shall serve as a release and assumption of risk for my heirs, estate, executor, administrator, assignees and all members of my family.


Years of competitive experience in your sport:

Local Address:

Permanent Address:

CWU Photography & Sound Recording Release Form

I the undersigned hereby grant permission to Central Washington University (“CWU”), through its authorized representatives, to photograph or videotape me and, as applicable, to record my voice.  I further give CWU my permission to use such photographic and/or sound recordings, as well as my name, in any print and/or non-print media, including but not limited to CWU publications, broadcasting stations, and websites, for educational and/or promotional purposes.

I also authorize the limited commercial use by CWU of my photograph(s) in connection with my participation in CWU-sponsored events and activities, such as graduation ceremonies or sports activities.  Such commercial use shall be limited to offering my photograph(s) for sale to me and to my family, friends, and acquaintances.  However, I also authorize CWU for this purpose to make my photograph(s) available for purchase through commercially hosted photo-sharing web sites.

For all purposes authorized by me, I acknowledge and agree that I will not be compensated for any such uses, whether educational, promotional, or commercial.  I understand that CWU exclusively owns all photographic and/or sound recordings authorized by me.  I waive any right to inspect or approve such photographs or recordings, any version of them, or any printed or other media into which they may be incorporated for the uses authorized by me.  On behalf of myself, my heirs, assigns, and estate, I hereby release CWU and its authorized representatives from any claims arising from such uses, including any claims of defamation, invasion of privacy, or infringement of publicity rights.

This Agreement may be executed in counterparts, each of which shall be deemed to be an original and all of which together shall constitute one and the same instrument. Electronic transmission of any signed original document, and any retransmission of any signed electronic submission, shall be the same as delivery of an original.

Medical History


Alternate Emergency Contact Information:


Medical insurance is required to participate in the Collegiate Sport Club program. If you do not have medical insurance, you can find information about purchasing medical insurance provided by Central Washington University on the Sport Clubs website in the "Risk Management" section under "Handbooks and Forms." 

Primary Medical Insurance Information (Enter all that apply):

To compete in the Collegiate Sport Club program, it is strongly recommended that you complete a physical examination by a licensed physician.

Physician's Information (if not applicable, leave blank):

Check all that apply

Concussion Education

  • Concussions and other brain injures can be serious and potentially life threatening injuries. Research indicates that these injures can also have serious consequences later in life if not managed properly at the time of the initial incident.
  • A concussion occurs when there is a direct or indirect insult to the brain. As a result, impairment of mental functions such as memory, balance/equilibrium and vision may occur. It is important to recognize that many sport-related concussions do not result in a loss of consciousness. As a result, all suspected head injuries must be taken seriously.
  • Coaches and teammates are critical in identifying those student-athletes who may have a concussion because a concussed athlete may not be aware of their condition or may be trying to hide their injure to remain in practice or competition.

Here are the objectives for this Concussion Education component:

  1. Educate you about the potential negative effects of a concussion
  2. Provide you with some information to help you understand whether you or another club member may have suffered a concussion
  3. Identify some things you should or should not do if a concussion is suspected
  4. Provide a framework on when they should seek additional medical attention

The following questions are from a mobile device application that is available free of charge. The application is called the Concussion Quick Check App and is endorsed by international governing bodies including FIFA, the International Olympic Committee and several others.

You are encouraged to get this application and use it.

Concussions should be suspected in the presence of anyone or more of the following: symptoms (such as headaches), physical signs (such as unsteadiness), impaired brain function (e.g. confusion), or abnormal behavior.

Here are a list of questions that everyone should be able to answer correctly:

  1. What venue are we at today?
  2. What half is it now (if applicable)?
  3. Who scored last in this game?
  4. What team did you compete against last?
  5. Did your team win the last competition?

Here is a test that can be used to test an individual. This test is also a part of the Pocket SCAN2 application.

  1. Stand heel to toe with your non-dominant foot in back. Your weight should be evenly distributed across both feet.
  2. Try to maintain stability for 20 seconds with your hands on your hips and your eyes closed.
  3. I will count how many times you move out of this position.
  4. Open your eyes and return to the start position and continue balancing. I will start timing when you are set and have close your eyes.

Leadership Assessment

If you selected "Yes" for club officer, please answer the following six questions. If not, scroll to the bottom and click "Next"

Private Vehicle Waiver

I hereby certify that whenever I drive a privately owned vehicle on when traveling to or from a club event, I will have a valid driver’s license and proof of liability insurance in my possession:
1. All persons in the vehicle will wear a safety belt and the vehicle shall always be:
2. Covered by liability insurance for the minimum amount prescribed by State Law.
3. To the best of my knowledge, in safe mechanical condition as required by law.

*I further certify that, while using a privately owned vehicle on official when traveling to or from a club event, all accidents will be reported within 24 hours.
*I understand that permission to drive a privately owned vehicle on when traveling to or from a club event is a privilege which may be suspended or revoked at any time.

This Agreement may be executed in counterparts, each of which shall be deemed to be an original and all of which together shall constitute one and the same instrument. Electronic transmission of any signed original document, and any retransmission of any signed electronic submission, shall be the same as delivery of an original.

If you selected "Yes" for owning a vehicle, please answer the following four questions. If you selected "No", scroll to the bottom and click "Submit".


Insurance Information. Answer all that apply.

Athlete Code of Conduct

The following information outlines the responsibilities of all CWU Sport Club participants. All students that participate in this program represent Central Washington University, Campus Recreation, and the Collegiate Sport Club program. When traveling to ANY event as a club, you are held to these standards from the time you depart campus to when you return. Anyone who breaches this code of conduct will be held accountable for their actions. Depending on the severity of the infraction, the student or club will face the University Recreation administration, as well as the CWU Student Conduct Council or campus police.


  • As a representative of Central Washington University, the best personal behavior and sportsmanship (conducting yourself accordingly, responsibly, and professionally) before, during and after competition, at any and all Sport Club sponsored activities is expected, regardless of the circumstances.  

  • I also understand that my club is responsible for its players conduct during practice, games, travel, and any place or time that the team has congregated or is visible to the public.

  • I will show respect to all competition officials, opposing team members, spectators and Campus Recreation employees.

  • Any supporters of the club, including family or friends, accept the same behavioral standard when attending competitions. I understand I am responsible to communicate with them if there are issues and assist in resolving them immediately. Any issues are to be reported to the sport club staff immediately. Failure to do so will result in stiff consequences that will impact the entire club.

Academic and Eligibility Requirements
  • I agree to inform my instructors at the beginning of the quarter that I participate in a sport club that competes in off-campus events that may conflict with the scheduled class time. I will work with my instructors to make up missed classes or assignments.
  • PLEASE NOTE: If you are missing class to compete you must bring official documentation written by the Sport Clubs Coordinator to your instructor no less than 2 weeks in advance, requesting their accommodations. Class letters are available per request from a club officer. Please allow 3 business days to prepare the letter. To create a letter, we need to know the dates and times the club is traveling, all students that are attending, waivers, emergency contact information, the official title of the event, its location, and where the club members are staying.
  • I understand to participate in a sport club that I must be in good academic standing with the university. CWU defines a student in good standing when a student has both quarterly and cumulative grade point averages (GPA) of 2.0 or higher. Students who are on academic warning, academic probation, or academic suspension are not eligible to participate. Please contact the Collegiate Sport Club Coordinator if you have any questions.
  • Each club competes under different governing bodies that all have different eligibility rules for the collegiate athletes that compete. I will learn what these rules are and ensure I am abiding by them so I do not negatively impact my team.
  • The Collegiate Sport Club program has secondary medical insurance for you. In order for you to access this insurance, you must be a registered participant of the club and you must complete an accident report when you are injured. Your club officers should have these forms at all club practices and competitions.
  • PLEASE NOTE: ANY TIME you are injured you must submit an accident report! Without this documentation we cannot submit an insurance claim. Your club's safety officer(s) is/are trained in this process and should have the forms with them in the first aid kit.  If for any reason you are having trouble completing the accident report, please come to the Sport Clubs Office for assistance. 
  • The possession or use of alcohol, tobacco, marijuana or any illegal drugs are not permitted on campus or when traveling or participating in club events. If you possess a prescription for any of these items, you must follow university policy and discuss a plan with the University Recreation staff to ensure we are following proper legal procedures. Please contact the coordinator if you have any questions.
  • Infractions of this policy will jeopardize the future participation for the individuals involved and possibly the club as a whole.   Each club is responsible in communicating this policy to the club members, reinforcing this message when traveling and holding their club members accountable.
  • A Private Vehicle Waiver must be completed and brought to the Sport Clubs Office by any club member planning to drive their own vehicle to an official sport club competition.
  • When traveling with a full-size van (10-12 passenger), the club is required to have at LEAST 2 members with a “CWU Maxi-Van Certification” to travel and drive a full-size van.
  • All traveling club members must wear seatbelts.
  • No club can exceed the maximum capacity of any vehicle they travel in.
  • Each club must act responsibly in vehicles and following all state laws.
  • Each club must travel with their first aid kit, which should be fully stocked AND include the emergency contact information for the sport club staff.
  • When traveling, clubs are required to carry the emergency contact information and medical history FOR ALL TRAVELING CLUB MEMBERS.
  • Check road conditions regardless of the current weather. Passes or roads may be closed for a variety of reasons that may include construction, fires, snow, ice, flooding, etc.
  • If inclement weather is anticipated, the club must meet with the coordinator to discuss
  1. their travel route.
  2. what the backup plan is if there are road closures or if conditions for travel become unsafe.
  3. how they will check road conditions while traveling.
  4. locations before passes where they can stop if needed.
  5. schedules in which they will communicate with the coordinator during the trip.
  • Hazing is illegal and will not be tolerated in any form.
  • Hazing is any action or situation that recklessly or intentionally endangers the health, safety, or welfare of an individual for the purpose of initiation, admission into, or affiliation with any organization.
  • Hazing includes any abuse of a mental or physical nature; forced consumption of any food, liquor, drugs, or substances; or any forced physical activity that could adversely affect the health or safety of the individual. Hazing also includes any activity that would subject the individual to embarrassment or humiliation, regardless of the willingness of the individual to participate in that activity.
  • Some specific examples of hazing include, but are not limited to:
    • Forcing new members to serve or follow orders of older members outside of the practice or game activity
    • Physical exercise limited to new members
    • Activities involving deprived sleep, food, water, or personal hygiene for new members
    • Swearing at or insulting new members
    • Forcing new members to wear embarrassing attire or perform humiliating acts in public
    • Forced consumption of alcohol, water, food or other substances
    • Forced nudity or partial nudity for new members
    • Physical beatings or smearing the skin with unpleasant substances
    • Forced branding, piercing, tattooing, or head shaving
    • Sexual stimulation or sexual assault
    • Kidnapping or forcible transport and/or abandonment of new members
    • Requiring someone to purchase something for you (i.e. a meal)
Disciplinary Action

Below is a brief description of disciplinary actions that may be taken if you or your team violates this code of conduct:

  • Probation, suspension or expulsion from the program
  • Loss of ability to compete, travel or practice
  • Individuals may be referred to Student Judicial Affairs for additional university disciplinary action
  • Additional consequences depending on the severity of the infraction or violation

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