Middle School D-League 2019-20

* Required Fields
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Fee: $299.00
*Player First Name
*Player Last Name
*School
*Grade
 
 
 
*Jersey Size
 YL 
 AS 
 AM 
 AL 
 XL 
 XXL 
*Parent/Guardian #1: Name
*Email Address
*Cell #
Don't type in this field
Parent/Guardian #2 (Name)
Email Address
Cell #
Medical conditions? If so, please let us know.
Medical Release
As a parent or guardian of the above named player, I hereby give my consent for emergency medical care as prescribed by a doctor or dentist to my dependent. I, the parent or guardian, agree that my child and I will abide by the rules of the Middle School D-League. I furthermore hereby release, discharge, and or otherwise indemnify the League, administrators, & coaches against any claim by or in behalf of the registrant as a result of an injury in the program.
*Waiver Agreement
 
I have read and agree with the waiver. 
 
*Does your family have health insurance?
 Yes 
 No 
Total Due:
$ 
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