Street Skills Basketball Challenge
Player's Full Name
First Name
Last Name
Parent/Guardian's Full Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Age
Risk Indemnity and Waiver
I authorise and grant my child to be included in photos and videos for social media platfroms including Facebook and Instagram
You acknowledge that there is an inherit risk of personal injury in physical activities that will be undertaken at the event and you accept the risk
You agree and undertake to pay costs which will be incurred for medical, ambulance transport and medication while your child is attending the centre/facility or participating in our programs.
Signature
Submit
Should be Empty: