Manteo Baptist Youth League Basketball and Cheer

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Email *

Childs First Name *

Childs Last Name *

Current Grade *

Basketball or Cheer *

Basketball

Cheer

Shirt Size *

Youth S

Youth M

Youth L

Youth XL

Adult S

Parent/Guardian Name *

Child's Address *

Parent/Guardians Phone Number *

Participant allergies or medical conditions?

* Please note that medications cant be given by coaches

Participant's Physician and Phone Number

I am aware of the nature of the activity and I hereby assume responsibility for my participant to participate in this program and to be photographed for publicity purposes. I will not hold Manteo Baptist Church and/or its employees or volunteers responsible in the case of an accident or injury as a result of this participation. *

I have and and understand this waiver

I am aware that the first practice is Nov 28th at 6pm at Manteo Baptist Church. *

Yes

Send me a copy of my responses.

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