Yellowknife Basketball Association 2025-2026 Registration Form

Yellowknife Basketball Association Registration Form

2025-2026
Athlete Information
Player Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal Code
Phone Number*
E-mail*
example@example.com
Basketball skill level*

1

2

3

4

5

1 is Begginer, 5 is Advanced
Interested in Helping out while your team not playing? (Paid)

Match RefereeScoreKeep
Emergency Contact
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
if yes Please describe if no please enter n/a*
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities as part of the Yellowknife Basketball Association 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 Yellowknife Basketball Association and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com
Signature*

Clear
Should be Empty:

Yellowknife Basketball Association Registration Form