Basketball Otago Under 16 Club Waiver 
If you are Under 16 for the duration of the club season, you must fill out the waiver below. 

Any questions, please get in contact with Rebecca at rebecca@otago.basketball
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Email *
First and Last Name  *
Date of Birth *
MM
/
DD
/
YYYY
Club/Team you are playing for  *
School attending  *
Parent/Caregiver Name (First and Last)  *
Parent/Caregiver Contact Number/Email Address
*
By agreeing to this waiver, the athlete agrees that they are entering the competition at their own risk and their application will be put to the competitions committee for discussion. The athlete will be advised if they are able to play before the first game of competition  *
Required
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