YBR Sports Entry Form

Athlete Information

Coast 2 Coast Madness

Tournament Entry Form

Team Name *

Gender *

Team Grade *

Coach Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City

Postal / Zip Code

Phone Number

Area Code Phone Number

E-mail *

Scheduling Concerns *

Important Notes · Dress appropriately. · No food or drink in the gym. · Keep the gym clean. · The league organizers reserve the right to form the teams to ensure the talents of all teams are balanced. · Fee: $15 (cash) per participant. All the money will be used for prizes and buying food drink for end of season small party.

Release of Liability Although the safety of all sport activities is the primary concern, indoor sport activities at YBR Sports may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against YBR Sports and the persons in charge.

I have read and agree to the above conditions *

Yes No

Confirmation E-mail *

Signature *

Clear

Parental Permission For Emergency Treatment In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.

Name of Physician / Emergency Medical Care Facility

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at ybrsportsenchancement@gmail.com.