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  • 2021-2022 REGISTRATION FORM

  • Youth Participant Information

  • Parent/Guardian Information

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  • Emergency Information

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  • Informed Consent and Acknowledgement

    I hereby give my approval for my child’s participation in any and all activities prepared by CEO of My Life Youth IncYOUbator during the selected session(s). In exchange for the acceptance of said child’s candidacy by  CEO of My Life Youth IncYOUbator, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless CEO of My Life Youth IncYOUbator and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

    In case of injury to said child, I hereby waive all claims against CEO of My Life Youth IncYOUbator including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • PLEASE SIGN YOUR SIGNATURE BELOW FOR CONSENT. IF YOU CAN'T PLEASE BE SURE TO SELECT THE "I AGREE' TAB ABOVE

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