2020 FBBA Fall Basketball Registration (Katy, Richmond/Rosenberg)

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2020 FALL BASKETBALL

This league will form teams from Sienna Plantation, all of Missouri City,

Sugar Land ,Fresno ,Stafford, Katy Richmond/Rosenberg and surrounding cities.

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

 

Gym Locations: Missouri City & Sugar Land 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 10/15/2020)
Street Address
City
State
Zip Code
*Participant Email
Home Phone
*Cell Phone
Don't type in this field
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
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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