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2021 OTCYBC Registration Form

* Player's First Name:

* Player's Last Name:

* Birthdate:

* Current Age:

* Uniform Size:

* School:

Player Cell:

Player email:

* Grade (Grade as of 2020-2021 School Year):

Address:

City:

State:

Zip Code:

* Parent Cell:

Parent Email:

* Parent/Legal Guardian Name:

Consent to Medical Care If at any time your child (registrant) should require medical care and a legal guardian of my child cannot be contacted to obtain consent to administer the necessary care, then I authorize OTCYBC to provide medical care to my *

By submitting this form, the parent or legal guardian of the player hereby agrees to hold harmless OTCYBC, their affiliate organizations, their officers, coaches and the facilities in use faultless in the event of injury or other harm occurring to the child during participation in any events. OTCYBC will bear no responsibilities for any COVID related issues. Parent or legal guardian will bear any and all responsibilities for any medical or legal claims of any nature.

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2021 OTCYBC Registration Form