Hoops Before Violence Boys & Girls Club

Registration Form

(ages 7 to 15)

Serving Hennipen/ Dakota County Minnesota

Athlete Information

Important Notes

· Dress appropriately.

· Keep the gym clean.

. No food or drinks in gym, but those will be sold outside of the gym for participants and others.

· The league organizers reserve the right to form the teams to ensure the talents of all teams are balanced.

· Fee: $400 per participant. Includes customized jersey, water bottle, mouth guard, hands on learning and coaching, weekly statistics, ribbon and completion certificate

Fee: $500 per participant. Includes customized jersey, customized water bottle, pull string bag, mouth guard, hands on learning and coaching,weekly statistics, 3 Game Tournament, trophy, ribbon and completion certificate.

Emergency Contact & Health Insurance Information

Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.

Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at Rising Stars Basketabll Association 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 Rising Stars Basketball Association and the persons in charge.