Adult Basketball League Registration

Adult Basketball League Registration
Athlete Information
Player Name*

First NameLast Name
League Pefrernce*

40 + League25 + League
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Cell Phone
E-mail*
example@example.com
Basketball skill level*

1

2

3

4

5

1 is Begginer, 5 is Advanced
Interested in Volunteering while your team not playing?

Match RefereeOperate Scoreboard
I would like to play on the same team with following players. League organizers will form teams base on this buddy list and your skill level.
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe*
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at SCC CFLC facilities 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 the SCC, Open Arms Devlopmental Agency and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com
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