Registration Form – Youth – AGBU MTL SPORTS

Youth Basketball Registration Form

If you have multiple children who want to play, please complete one form per child

Child's Name *

First

Last

Date of Birth *

Gender *

Which school grade is your child entering this year ? *

Home address *

Primary contact person (Parent #1) *

First

Last

Cell number *

E-mail *

Second contact person (Parent #2 or other)

Parent's cell phone number (copy)

Parent's email (copy)

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

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