2023 FBBA AAU Training Monthly payment option

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Fee: $350.00Processing Fee
Participant Information
*First Name
Middle Initial
*Last Name
Nickname
Registration Code
Gender
 Male 
 Female 
Date of Birth
Grade
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
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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 AAU prior to participation in this program.  I do hereby waive, release and agree to hold harmless Missouri City Rec & Tennis Center , Fort Bend Basketball , Harmony School of Innovation, 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 above. 
We will provide no refund for our AAU program.
Would you like to make a donation to provide a scholarship for a needy child?
Scholarship donation
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