To register by mail please print this form, fill it out, and mail it with payment. Click here to Print
MAKE CHECKS PAYABLE TO: |
Youth Basketball of America Registration |
Entry Deadline: December 30, 2006 Space is limited---every entry form and fee must be received by deadline to guarantee your position. |
Team Name:_____________________________Head Coach:_____________________Division/Grade_________
Address_________________________________City:___________________State:_______Zip________________
Home Phone:_______________Work Phone:_______________Fax:_______________E-mail_________________
Jer. # |
Player’s Name |
Grade |
DOB |
School/City |
Phone # |
Address |
T-Shirt Size |
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I certify that all information is correct and each athlete listed on the above Roster meets the grade and eligibility criteria.
RELEASE: We recognize the possibility of physical injury associated with the sport of basketball. The coach’s signature below certifies he/she has consulted with the parent or guardian of each player listed above and that the parent or guardian releases the Elite Sporting Events and their officers, directors, coaches, employees, sponsors, agents, volunteers, participating athletes, other parents, representatives and successors and the schools, school districts, religious organizations and other owners of the facilities where games are played and their employee, from any and all liabilities, claims, damages and expenses, whether known or unknown, sustained by the player, or by the undersigned, which in any way arise out of, or are connected or relate to the participation by the player in any activity (including without limitation transportation to and from activities) organized by or in any way associated with Elite Sporting Events.
Coach’s Signature:_______________________________________Date:______________________________