VISION BASKETBALL ACADEMY

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Register for the 2018 MLK Tournament

TEAM REGISTRATION FORM

2018 MLK TOURNAMENT - JANUARY 13-14, 2018

* TEAM NAME:

* GENDER:

* GRADE/AGE AS OF THE 2017-2018 SCHOOL YEAR:

* DIVISION (Skill Level):

AAU CLUB CODE:

CITY REPRESENTING:

* CONTACT'S NAME:

* CONTACT'S PHONE NUMBER:

ALTERNATE PHONE NUMBER:

* EMAIL ADDRESS:

* CONFIRM EMAIL ADDRESS:

EACH TEAM RECEIVES UP TO TWO FREE COACHING/ENTRY PASSES FOR THE EVENT.

Please indicate their names in the fields below. Valid IDs must be shown at the door to receive the passes.

ASST. COACH / TEAM MANAGER - FIRST AND LAST NAME::

* HEAD COACH - FIRST AND LAST NAME::

COMMENTS/SPECIAL REQUESTS:

Each Special Request (such as preferred game times) will cost $50.00. In the event that we are unable to fulfill your request, a refund for the cost of the Special Request(s) will be given. Please check the Special Request box at the end of the form to confirm your request.

Registration is considered complete once payment is made.

TEAM WAIVER

I hereby give my consent for my organization/team to participate in the VBA 2018 MLK Tournament and extra curricular activities. I declare that the members of my organization/team are in good physical condition. I acknowledge and agree that attending or participating in sports may be hazardous and may result in injury. I further agree that I assume all risks of injury for myself, my organization/team and anyone who comes with me to the premises incurred or suffered while upon the premises or as a result of using the facilities or equipment therein. I further expressly agree to release VISION BASKETBALL ACADEMY, its board members, employees, agents, successors, assigns, affiliates and anyone else associated with VISION BASKETBALL ACADEMY, from any and all claims, demands or damages whatsoever, whether developed or undeveloped, known or unknown, anticipated or unanticipated, have, now or in the future, including, but not limited to any and all claims, demands or damages for negligence, personal injury and/or loss, theft or destruction of personal property. It is my intention that this release be as broad as California law allows releases of this sort to be.

I further agree to save, hold harmless, and indemnify VISION BASKETBALL ACADEMY, its board members, employees, agents, successors, assigns, affiliates, and anyone else associated with VISION BASKETBALL ACADEMY, from any and all claims, demands or damages, including cost, interest and attorneys’ fees which they may suffer or incur as a result of any claims by me, my team/organization and anyone who comes with me to the premises, or related entities, and/or as a result of any claims, demands or lawsuits arising out of my actions or those of anyone who comes with me to the premises.

I HAVE READ THE FOREGOING RELEASE, I FULLY UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

I/we agree with the above *

After submitting the form there is an option to "Pay Later".

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

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Register for the 2018 MLK Tournament