Registration Form – Youth 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. Please enable JavaScript in your browser to complete this form.Child's Full Name *Date of Birth *Gender *Please selectMaleFemaleWhich school grade is your child entering this year ? *Please selectMaternelleGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Secondaire 1Secondaire 2Secondaire 3Secondaire 4Secondaire 5CegepHome address : # and street *Home address : city of residence *Please selectMontrealLavalRive Nord (Blainville, Boisbriand, St-Eustache, etc)Rive Sud (Longueil, Brossard, etc)OtherPrimary 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 weekdayThis 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? *YesNoThis 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 hereBy 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 programPhoneSUBMIT