Muslim Basketball Association Online Registration
Help us make this the best experience you have ever had!  Please make sure to fill out all of the information completely.  We look forward to seeing you!
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Group *
Please check the Age Group you would like to play in
First Name *
Last Name *
Grade *
Year of Birth *
 (the Year you where born in) i.e 2001
Postal Code *
Email *
Main Contact Number *
Cell Phone
Parent Name: *
Parent Contact Number: *
Emergency Contact Name: *
Emergency Contact Number: *
Health Card Number: *
Medical Conditions and/or Allergies: *
Local Masjid
Height
In inches i.e 5`10
Jersey Size *
Please Specify Adult sizes from drop down menu.
What MBA Team did you play for Last Season *
 Basketball Experience *
Suggestions or Comments About the MBA
you can speak on the experince you have had or something new you would like to see in the MBA
Liability Release/Waiver:   By submitting this form I am releasing the MBA League and all staff, volunteers, associates, sponsors and facilities from responsibility of any injury or damages that might occur during My Child's Participation in the MBA. I hereby authorize MBA League staff to act for My Child  according to their judgment in any emergency requiring medical attention and I hereby waive and release the MBA League and its Volunteers from any and all liability stemming from any injuries or illnesses incurred while My Child is participating in any MBA Activity. I have no knowledge of any physical impairment which would be affected by My Child's participation in the MBA League. I understand that MBA League games and Practices consists of strenuous physical activity. *
Parent please review the above release.
Required
Media Release: I hereby give permission for my child to be photographed & filmed during the league's activities. I understand the photos will be used to keep a journal of activities, to share during  presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper, social media and  on our & sponsors website.   *
Parent please review the above release.
Required
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