Berkut Travel Ball Tryout(August 31st) RegistrationForm

PLAYER INFORMATION
PARENT/GUARDIAN #1
MEDICAL/EMERGENCY CONTACT INFORMATION
Consent: I, the parent or guardian of the above Travel team candidate, does hereby give my approval to his/her participation in the Berkut Team Tryouts. In case of injury to my child, I do hereby release, absolve, indemnify, and hold harmless NYBL and Berkut Basketball and all persons engaged in any manner in the basketball program from any and all claims and from any actions or negligence of the NYBL , its members or agents. I understand that I am responsible for accident insurance coverage for my child. I agree to allow my child's team photo, which may include my child, to be posted on the NYBL and Berkut website during the season.
I also agree to allow my child's first name, last name and division to be posted on the website. The names and photos will be removed after the season ends. In addition, by consenting, I agree to abide by the USSSA Code of Conduct (available on our website) Failure to abide by the Code of Conduct could result in participation being revoked.
Cost of Tryout is $30.00

Returning Berkut Players are $25.00

Payment by Venmo or Cash

@Bill-Clark-NYBL
 

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