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Comstock Youth Basketball 2018-2019 Player Registration Form

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

VOLUNTEER INFORMATION
I would be willing to help with the following:
Please check all that apply:


WAIVER INFORMATION
*** As parent/guardian for the above named player, I hereby give my permission for my child to participate in Comstock Youth Basketball League and, on behalf of my child, do hereby assume the risks of participating in said league. I waive, release, and discharge from any and all claims or liability all staff, personnel, and facility owner/operators associated with conducting Comstock Youth Basketball League. ***
Please mail payment to : Comstock Basketball Inc , 699 Ophir Ct., Dayton, NV 89403

Fee Schedule: 1 player $55/ 2 players $90/ 3 or more players $100

 

* indicates required fields

IMPORTANT: Online Payment with credit cards is not active for this form