Basketball League Registration Form

Basketball League Registration Form

Please complete this registration form to ensure your spot in the league and provide us with the necessary information to make your experience safe and enjoyable.

Athlete Information

Name

Please provide your full name.

Age

    Phone number

      Email

        Address

          Basketball Skill Level

            Emergency Contact Information

            Name

              Relationship to Athlete

                Phone number

                  Medical Information

                  Do you have any medical conditions we should be aware of?

                    • Yes

                    • No

                    If yes, please specify:

                      Allergies (if any)

                        Health Care Provider/Physician Name

                          Address

                            Phone number

                              Health Insurance Information

                              Do you have health insurance?

                                • Yes

                                • No

                                Insurance Provider

                                  Policy Number

                                    Waiver and Release of Liability

                                    I, the undersigned, acknowledge and fully understand that participating in the basketball league involves physical activity, which carries the risk of injury.

                                    I hereby release and discharge the league organizers, sponsors, and associated personnel from any claims, demands, or actions arising out of my participation in the league.

                                    Name:

                                    Date:

                                    Thank you for choosing [Your Company Name]! We wish you a pleasant stay!

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