3 on 3 Basketball Tournament – Registration Form & Waiver
3 on 3 Basketball Tournament – Registration Form & Waiver
Team Name:__________________________________________________________
Team Captain’s Name:__________________________________________________
Captain’s Address:______________________________________________________
Captain’s Phone:_______________________________________________________
|Player # |Name & Phone Number |Grade |Date of Birth |Male/Female |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
ALL PLAYERS AND A PARENT/GUARDIAN FOR EACH PLAYER MUST SIGN THIS WAIVER
I understand that by signing this document, I acknowledge and assume the risks inherent in the 3 on 3 basketball tournament, and herby relieve Summit High School District #161, and The Summit Hill/Hilda Walker Booster Club of any and all liability
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
If applicable, please provide the name of your volunteer for a minimum of 1 hour time slot.
|Volunteer Name |Phone |Email |
| | | |
| | | |
Completed registration form and waiver with your check need to be dropped off to your schools main office by March 22, 2011
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