September 24, 2011

Registration

Player Information
  1. (required)
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  11. (required)
  12. (required)
  13. (valid email required)
Previous History
  1. (required)
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  3. (required)
Primary Parent/Gaurdian
  1. (required)
  2. (required)
  3. (required)
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  5. (required)
  6. (required)
  7. (valid email required)
Secondary Parent/Gaurdian
  1. (valid email required)
Sibling Information
Confirmation
  1. I have read all information contained in the Whitby Saints Basketball Association registration package and hereby give my consent for the above named individual to participate with the Whitby Saints Basketball Association.
  2. I acknowledge that the information given for registration purposes to the Whitby Saints Basketball Association is true.
  3. I understand that falsifying any information on this registration for may result in the rescinding of the membership and the fees paid on behalf of the above named individual with the Whitby Saints Basketball Association.
  4. I hereby release the Whitby Saints Basketball Association, their agents, servants, volunteers, and staff from all claims for damages arising from any accidents or injury which are caused by or arise from participation of the applicant named on this registration form during any program or in any facility or at any location where an activity is being held
  5. (required)
Verification
  1. Captcha
 

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