Sac Junior Rebels Event Registration
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Email *
Welcome to the Sacramento Junior Rebels Program!
Player Name (First & Last Name) *
Player Grade *
Required
Parent/Guardian Contact (First & Last Name): This form must be completed by the parent/guardian of each participant who is under the age of 18 years and is considered a minor. *
Parent Contact Phone Number (XXX-XXX-XXXX) *
Which date(s) are you able to attend? Please mark all attending at Simmons Community Center. *
Required
Liability Release: By marking “I agree,” I recognize that there is an element of risk in any sport. I am aware that certain dangers can be minimized but never entirely eliminated. During basketball training, these dangers include, but are not limited to, the following: falling down; colliding with walls; equipment; and/or other participants.
I certify that the minor named above is fully capable of participating in the activities of this basketball training. Therefore, I assume full responsibility for my child named above for any bodily injury, death, loss of personal property, and/or expenses which result from participating in this training. I further understand that the Sacramento Rebels Youth Organization may refuse any person it judges to be incapable of meeting the rigors and requirements of participating in this training.
Although the Sacramento Rebels Youth Organization cannot assume responsibility for anyone’s personal medical conditions, please list below any medical problems or conditions your child may have: (list medical conditions or state “None”)
*
I release liability and agree with statement above. *
Thank you! Go Rebels!
www.SacRebels.org
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