Purple Cobras AAU Basketball Registration

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
I hereby do not hold the NJ Purple Cobras/Sparta PAL its staff, coaches or facilities responsible for any problems or injuries that may occur arising from participation in this program. I hereby attest that all information provided is correct and if incorrect my daughter may be removed from the team.
 

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