First Name *

Last Name *

Email *
Please enter a GVSU email address ending in @gvsu.edu or @mail.gvsu.edu.

Email (Confirmation) *

Phone *

Birthdate *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955

Home Street Address *

Home State/Province *
- Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming

Home Country *
- Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentine Republic Armenia Aruba Australia Austria Azerbaijan Azores Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Do Not Use Do Not Use Do Not Use Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S Georgia Sandwich Islands Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent The Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan, Rc Tajikistan Tanzania Thailand The Bahamas The Congo Togolese Republic Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe

Previous School/Team *

G-number *

what is your class standing? *

I hereby declare, assert and affirm that my participation in Grand Valley State University Club Sports is done having voluntarily and knowingly assumed all risks involved in this program. The physical risk(s) associated are those correlated with normal, vigorous physical activity.  These risks include but are not limited to, bodily discomfort and fatigue, muscular soreness, pulled or strained muscles, overuse injuries/soft tissue damage, bodily injury resulting from falls, and the rare instance of abnormal changes/responses of the cardiopulmonary system to exercise.  Adverse responses include abnormal blood pressure, heart arrhythmias, and the very rare instance of heart attack, stroke, or sudden death.

In consideration of acceptance of this contract allowing my participation in Club Sports and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages or losses that I may incur while involved in Club Sports, specifically Grand Valley State University, it’s respective employees, agents, representatives, successors and assigns for any and all activities connected with Club Sports.  If I am a Grand Valley employee, I also understand that I do hereby WAIVE any and all rights or benefits under the State of Michigan Worker's Compensation laws for any injury incurred as a result of my participation in this program. 

Please carefully read the GVSU Student Code of Conduct.

As a participating athlete in the GVSU Club Sport Program, I agree to abide by the following:

I will conduct myself accordingly, responsibly, and professionally in congruence with the Club Sport Handbook and the Student Code of Conduct at all Club Sport-sponsored activities. 

I understand that my actions may adversely affect my team, the Club Sport Program, Recreation & Wellness, and Grand Valley State University.

I will represent GVSU, the Division of Student Affairs, Recreation & Wellness, and my club in a professional, positive manner, and always in congruence with the Club Sport Handbook and the Student Code of Conduct.

I will show respect to all team members and Recreation & Wellness employees. 

I will adhere to all Recreation & Wellness policies and procedures. These include the Club Sport Handbook, facility policies and procedures, my club's National Governing Body policies, and other University policies and procedures, including the Student Code of Conduct.

I have read and understand all the above, and acknowledge that I will abide by the Student Code of Conduct *
- Select Option Yes

Please carefully read the GVSU Alcohol and Other Drug Policy.

I have reviewed the GVSU Alcohol and Other Drug Policy, I recognize that Recreation & Wellness and the Club Sports Program supports the University's policy on alcohol, and will abide by these standards and policies at all Club Sport-sponsored activities. *
- Select Option Yes

Please carefully read the GVSU Hazing Policy.

I have reviewed the GVSU Hazing Policy, I recognize Recreation & Wellness and the Club Sport Program supports the University's policy on Hazing, and will abide by these standards and policies at all Club Sport-sponsored activities. *
- Select Option Yes

Please carefully read the GVSU Cross Country and Track Club Constitution

I have reviewed the GVSU Cross Country and Track Club Constitution, understand, and agree to the articles and bylaws *
- Select Option Yes

My signature below affirms that I have read and agree to all of the above content regarding my participation in the GVSU Club Sports Program, and that this Agreement is binding throughout my entire duration as a student at Grand Valley State University.

Emergency Contact Name *

Emergency Contact Phone *