Registration Form – Youth Youth Basketball Registration Form If you have multiple children who want to play, please complete one form per child Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastDate 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 *Primary contact person (Parent #1) *FirstLastCell 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 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 programCommentSubmit