Av Dream Basketball Registration
Complete the form to register for the basketball program.
Player 1 Name
*
First Name
Last Name
Player 1 Age
*
Player 2 Name
First Name
Last Name
Player 2 Age
Player 3 Name
First Name
Last Name
Player 3 Age
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
2. ASSUMPTION OF RISK I understand that participation in basketball practices, games, drills, conditioning, and other league activities involves inherent risks. These risks may include falls, collisions, sprains, fractures, head injuries, other bodily injuries, and, in rare circumstances, permanent disability or death.I understand that these risks may arise from the actions of participants, the nature of basketball, the use of sports equipment, or conditions at the activity location. I voluntarily allow my child to participate in AV Dream Inc activities with knowledge of these risks.
*
RELEASE OF LIABILITY To the fullest extent permitted by California law, I, as the parent or legal guardian, agree to release AV Dream Inc and its directors, officers, coaches, volunteers, staff, and authorized representatives from claims arising from the inherent risks of participation in the youth basketball program.This release applies only to the extent legally enforceable. It does not waive claims that cannot legally be waived, including claims involving gross negligence, willful misconduct, or other liability that California law prohibits releasing.I understand that signing this form does not guarantee that AV Dream Inc will be free from all legal liability.
*
MEDICAL AUTHORIZATION I authorize AV Dream Inc personnel to contact emergency services and request appropriate emergency medical assistance for my child if I cannot be reached promptly.I understand that AV Dream Inc personnel are not responsible for providing professional medical treatment. I accept responsibility for medical expenses incurred on behalf of my child, subject to applicable law and insurance coverage.
*
PHOTO & VIDEO CONSENT I authorize AV Dream Inc to photograph or record my child during league activities and use the images or recordings for program-related social media, website, promotional materials, and community outreach.
*
My Products
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1 month registration
$40.00
$
40.00
Quantity
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Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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