March Madness 3 on 3 Basketball Tournament

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Player Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

Gender:

* Grade and School Attending:

* Player T-Shirt Size:

Adult X-Small

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult XXL

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

WAIVER INFORMATION

3 on 3 Basketball Fundraiser Tournament Player/Parent Consent and Waiver

ALL PLAYERS AND A PARENT/GUARDIAN FOR EACH PLAYER MUST SIGN THIS WAIVER, RETURN ALONG WITH TEAM REGISTRATION AND PAYMENT TO BE ENTERED INTO TOURNAMENT.

I understand that by signing this document, I acknowledge and assume risks inherent in the 3 on 3 basketball tournament and hereby relieve Woodside High School, Woodside High School PTSA, Newport News Public Schools, Tournament event staff/volunteers and sponsors of any and all liability.

I/we agree with the above *

Signature:

Date:

Signature:

Date:

Signature:

Date:

* indicates required fields

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Player Registration Form