Xtreme Player Registration

After you have received an invitation from the MOV Xtreme staff to join our team, please complete the following form registering with the Xtreme and providing necessary waivers. After being invited, once you have completed this form and submitted payment your spot on an Xtreme roster has been confirmed.
PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
By submitting this release and registration agreement, we the parent(s), natural guardian(s), and/or legal guardian(s) of the minor named below, herewith knowingly and intentionally consent and authorize the minor named below to participate and engage in the basketball program within the Mid Ohio Valley Xtreme.

We fully understand that Mid Ohio Valley Xtreme does not carry insurance covering injuries sustained by players participating in the program. We also fully understand the risks involving personal injury which may arise during the course of the basketball program, and voluntarily assume said risks and further agree on our behalf and on behalf of the minor named below to release, indemnify, and hold harmless the Mid Ohio Valley Xtreme, members of the Board of Directors, coaches, any tournament directors, and assignees from all liability, the minor named below may sustain while participating in any activity associated with Mid Ohio Valley Xtreme- game, practice, or otherwise.
Also, in consideration of certain facilities, we agree to release, indemnify and hold harmless any school district and their Board of Education, or any other organization that provides said facilities for games, practices or other activities related to participation with the Mid Ohio Valley Xtreme organization.

It is further understood and agreed that the Mid Ohio Valley Xtreme, it’s Board of Directors, coaches, and assignees do herewith disclaim any and all liability for any injuries which may occur.
It is also understood that the cost to participate with the Mid Ohio Valley Xtreme is $400 per player for the boys exposure team. By submitting payment you acknowledge that the payment is non-refundable- as Xtreme is holding a spot for you on their team.

The MOV Xtreme will hold fundraising events to help offset overall costs. Each player is expected to participate in our primary fundraising event by selling tickets in our annual raffle.

The MOV Xtreme organization also recognizes that the economic situation is not the greatest right now. We are willing to work with individuals who may have difficulty coming up with the player fee. We do not want to see deserving players turned away because of financial limitations.

* required


Payments Accepted By

Note: Credit Card information can be entered once this form is submitted