Basketball Team Registration

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Email *

Parent/Legal Guardian’s Name:
*

Parent's Email Address *

Participant’s Name:

Age:
*

Emergency Contact Name:
*

Emergency Contact Phone Number:
*

Jersey size
*

XXL

Team Registration Cost: $180; check all that applies *

I would like to have a payment plan

I would like to apply for the sibling discount

I will pay the whole amount at once

Required

WAIVER OF LIABILITY RELEASE FORM

I am aware of the nature of this activity, and I hereby assume responsibility for the students named above to participate and to be photographed for publicity purposes. I will not hold BRIGHT HORIZON ACADEMY and/or its employees, THE DEPARTMENT OF PARKS AND RECREATION and/or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of BRIGHT HORIZON ACADEMY prior to participation in this program.

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