COPS vs. Youth Basketball Games
Registration for COPS vs. Youth Basketball Games. These games are only for high school students and eligible middle schoolers.
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Youth First Name/Nombre *
Youth Last Name/Apellido *
Youth Email or Cell Phone
Correo Electronico o Numero de Telefono
*
Youth School/Escuela
Grade/Grado
*
Which game are you attending?
A que juego asistirá?
*
Required
Likeness Release:
I do hereby consent and agree that The ACCESS Project, its employees, or agents have the right to photograph, tape, record and/or film me and to copyright and/or reuse, publish, perform, reproduce, adapt, distribute, or transmit the same, in whole, in part, or in composite, through any medium without restriction, for the purpose of promoting The ACCESS Project programs and events. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback. I also understand that The ACCESS Project is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result.

The ACCESS Project Notice of Privacy Practices: Privacy Policy - The ACCESS Project

Parent Full Name/Nombre del Padre o Madre             


Date/Fecha:


Parent Signature/Firma del Padre o Madre
*
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