BASKETBALL

BASKETBALL

Admissions Registration Form
12 - 18 years old19 - 25 years old
STUDENT'S INFORMATION
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
In Case of Emergency
Name of Parent or Guardian*

First NameMiddle NameLast Name
Parent/Legal Guardian's name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Relation to participant*
Any Comments
Waiver of Liability and Release Form
I am aware of the nature of this activity and hereby assume responsibility for, name* , will participate and to be photographed for publicity purposes. I will not hold iHelp International and/or its employees/volunteers responsible is case of accident or injury as a result of this participation. I understand that this compelted form must be in the possession of iHelp International prior to participation in this program.
Parent/Legal Guardian's Signature*

Clear
Date Signed*

MonthDayYear
Date
Waiver of Liability Release Form
I am aware of the nature of this activity and hereby assume responsibility that I, name* , will participate and be photographed for publicity purposes. I will not hold iHelp International and/or its employees/volunteers responsible is case of accident or injury as a result of this participation. I understand that this compelted form must be in the possession of iHelp International prior to participation in this program.
Participant's Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

BASKETBALL

STUDENT'S INFORMATION

In Case of Emergency

Waiver of Liability and Release Form

Waiver of Liability Release Form