Registration Form – Youth – AGBU MTL SPORTS

YOUTH BASKETBALL REGISTRATION FORM

Please complete one form per child

For NON-Armenians : we have reached the maximum available spots this year. You can complete the registration form if you'd like, however there is a waiting list and if a spot opens up we will contact you.

Child's Full Name *

Date of Birth *

Gender *

Which school grade is your child entering this year ? *

Home address : # and street *

Home address : city of residence *

Primary contact person (Parent #1) *

E-mail (Parent) *

Cell number (Parent) *

Second contact person (Parent #2 or other)

Parent's email (copy)

Parent's cell phone number (copy)

Will you sign up for once or twice a week? *

Once a week on Saturdays
Twice a week on Saturdays and a weekday

This is just to give us an IDEA of what most people prefer.

Would you be willing to practice on Sundays if that option opens up? *

This is just to give us an IDEA of what people prefer / are open to.

Does your child have any allergies or medical issues that we should know of? *

Waiver and Liability *

I understand and accept the terms stated here

By checking this box I attest that I understand that participation in the sports program involves risk, and I agree to assume those risks. I hereby release and hold harmless AGBU, its committees and the volunteers involved in the program from any liability arising from my personal or my child’s participation in this program

Name