2018 Turkey Jam Registration Form

* Required Fields
Printer-friendly blank form
*Club Director/Head Coach
*Contact Cell Number
*Director Email Address
*Number of Teams Registering
 1 Team (+$250.00)
 2 Teams (+$500.00)
 3 Teams (+$675.00)
 4 Teams (+$900.00)
 5 Teams (+$1,125.00)
 6 Teams (+$1,350.00)
Team 1 Information
*1st Team Name
*Head Coach
*Girls/Boys
 Girls 
 Boys 
*Division Requested
Team 2 Information
2nd Team Name
Head Coach
Girls/Boys
 Girls 
 Boys 
Division Requested
Team 3 Information
3rd Team Name
Head Coach
Girls/Boys
 Girls 
 Boys 
Division Requested
Team 4 Information
4th Team Name
Head Coach
Girls/Boys
 Girls 
 Boys 
Division Requested
Team 5 Information
5th Team Name
Head Coach
Girls/Boys
 Girls 
 Boys 
Division Requested
Team 6 Information
6th Team Name
Head Coach
Girls/Boys
 Girls 
 Boys 
Division Requested
Special Requests
Special Requests
Liability Waiver
Player Liability Waiver
This form is an important legal document acknowledging that you assume risks by participating in physical activities. I recognize the possibility of injury associated with the sport of basketball. I release the SW Salsa Slam, New Mexico Clippers, New Mexico Select and their officers, coaches, agents, volunteers, sponsors, referees, athletes, other parents, Albuquerque Public Schools (APS), Bernalillo Public Schools (BPS), and their employees/agents where games are played from any and all liabilities, claims, damages, and expenses, whether known or unknown, sustained by the player or by the undersigned, which in any way arise out of, or in connection with this event organized by the New Mexico Clippers. I hereby hold SW Salsa Slam, New Mexico Clippers, New Mexico Select and their officers, coaches, agents, volunteers, sponsors, referees, athletes, other parents, Albuquerque Public Schools (APS), Bernalillo Public Schools (BPS), and their employees/agents where games are played from any free and harmless against any and all losses, injuries, liabilities, claims, damages, and expenses, incurred as a result of participation in this event. I understand that medical insurance is the responsibility of the parent and/or player
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*
 I agree to all terms in the Liability Waiver and will provide a signed copy to the tournament staff prior to my first game. 
Refund Policy
Refund Policy
No refunds once schedule is released.
              
*
 I have read and understand Cancellation/Refund Policy. 
Receipt of Payment
*
 I understand if payment is not made my entry form will be removed 
*Name of Person on Credit Card for Online Payment
*Director Email Address
Total Due:
$ 
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