Skills training program

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Fee: $4.95Processing Fee
Skills training program

 


Ages 6-17

Beginners-Intermediate-advanced

Players will be separated according to skill level.

Participant Information
*First Name
Middle Initial
*Last Name
Nickname
Registration Code
Gender
 Male 
 Female 
Date of Birth
mm/dd/yyyy
Grade
*Age as of (8/10/2019)
Street Address
City
State
Zip Code
*Participant Email
Home Phone
Mobile Phone
Skill level
Participant Medical Information
Medical Conditions/Allergies
Special Needs/Requests
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone(s)
Parent / Guardian 1 Information
Guardian 1 Name
Relationship
Street Address
City
State
Zip Code
*Guardian 1 Email
*Daytime Phone
Evening Phone
Mobile Phone
Preferred practice day/time
Parent / Guardian 2 Information
Guardian 2 Name
Street Address
City
State
Zip Code
Guardian 2 Email
Daytime Phone
Evening Phone
Mobile Phone
Relationship
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. 

If you miss your training they will not carry over. 

 

*Waiver confirmation
 I have read and agree with the waiver. 
No refund after purchase
Would you like to make a donation to provide a scholarship for a needy child?
Scholarship donation
Statistics
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*4 or 8 trainings a month
Discount Code
 
Total Due:
$ 
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