I am aware of the nature of this sport and I hereby assume responsibility for blanks* (Participant Name) to participate and to be photographed for publicity purposes. I will not hold the PANTHERS YOUTH BASKETBALL ASSOCIATION and/or its coaches responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of the PANTHERS YOUTH BASKETBALL ASSOCIATION prior to participation in this program.
Registration Fees-
Early Registration(before November 28):
$300
Registration(due November 28):
$325
Multi Participant Discount:
$25 off each participant