2020 FBBA Spring Basketball Registration (Richmond, Rosenberg, Katy)

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2020 SPRING BASKETBALL

This league will form teams from Richmond, Rosenberg, Katy and surrounding cities.

We will have developmental and more advanced divisions to accommodate your child's skill level.

 

Gym Locations:Richmond, Katy and Several Local Gyms

 

*Age Division / Price
Participant Information
*First Name
Middle Initial
*Last Name
Nickname
*Gender
 Male 
 Female 
*Date of Birth
Grade
*Age as of (2/1/2020)
Street Address
City
State
Zip Code
*Participant Email
Home Phone
*Cell Phone
School
Years of experience
*Skill level
Participant Medical Information
Height
Weight
Medical Conditions/Allergies
Special Needs/Requests
Physician Name
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone(s)
Physician Phone
Medical Insurance Carrier
Insurance Policy #
Parent / Guardian 1 Information
Guardian 1 Name
Don't type in this field
Relationship
Street Address
City
State
Zip Code
Guardian 1 Email
*Cell Phone
Evening Phone
Date of Birth
mm/dd/yyyy
Volunteer - Coach
  
*Volunteer - Asst Coach
  
Volunteer - Team Manager
  
Volunteer - Team Parent
  
Coaching Experience
Parent / Guardian 2 Information
Guardian 2 Name
Street Address
City
State
Zip Code
Guardian 2 Email
Evening Phone
Mobile Phone
Relationship
Date of Birth
mm/dd/yyyy
Volunteer - Coach
  
Volunteer - Asst Coach
  
Volunteer - Team Manager
  
Volunteer - Team Parent
  
Coaching Experience
Waiver
Waiver

WAIVER OF LIABILITY RELEASE FORM

 

 

 

I am aware of the activity involved and give permission for the above child(ren) to participate and to be photographed for publicity purposes. I understand that this completed form must be in the possession of the FORT BEND BASKETBALL ASSOCIATION prior to participation in this program.  I do hereby waive, release and agree to hold harmless Missouri City Rec & Tennis Center or Faith Lutheran Church the league organization, league players, the organizers, sponsors, supervisors, coaches and participants for any claim arising out of injury as a result of participation. I also grant permission to managing personnel or other league representatives; to authorize and obtain medical care from any licensed physician, hospital or medical clinic should the player become ill or injured while neither parent nor guardian is available.

 

 I have carefully read this agreement waiver and release and fully understand its content. I am aware that this is a release of liability and a contract between the above entities and myself and I sign it of my free will. 

 

 

 

*Waiver confirmation
 I have read and agree with the waiver. 
Refund Policy
The Policy

No refunds issued after the evaluations.

*Refund confirmation
 I have read and understand the refund policy. 
Would you like to make a donation to provide a scholarship for a needy child?
Scholarship donation
Statistics
*How did you hear about this program?
Ethnicity
Family gross income past year
Household status
Total Due:
$ 
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