City Wide ReUp Hoop Life Form
Event Timing: February 22, 2020 @ 4pm - 8pm
Event Address: 9417 Geyer Springs Rd, Little Rock, AR 72209
Contact us at programs@brandonhousearts.org or (501) 725-5757
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First and Last Name *
Email *
Phone Number *
Social Media Name *
School Name *
Grade Level *
Age
If under 18, you must have parent/guardian signature on the Liability Form upon check in at Hoop Life Tournament. If you are participating on a team, each player under 18 must have parents sign a liability form. Do you understand? *
Hoop Life Contest *
Required
Team Name
Enter Teammate Names (Must have a Team of 5 players)
Signing this form releases Brandon House Cultural & Performing Arts Center and/or collaborative parties from any liability and waiver of the right to sue if any loss results from participation in the activity. Signing this acknowledges an understanding of the nature of the activity and the risks involved, and chooses voluntarily to accept those risks.  The participant agrees not to hold Brandon House or collaborative parties responsible for any loss that may result from participation in the activity. Signing this indicates that the participant (and team players/participants) is financially responsible for any costs incurred as a result of treatment for injury while engaged in activity. Do you agree to these terms? *
Required
If all these answers above are correct, put date this form was submitted below. *
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