Lisbon Youth Sign-Ups

1
Player Name* This field is required.
2
Select Grade* This field is required.
Kindergarten Boys
Kindergarten Girls
1st Grade Boys
1st Grade Girls
2nd Grade Boys
2nd Grade Girls
3rd Grade Boys
3rd Grade Girls
4th Grade Boys
4th Grade Girls
5th Grade Boys
5th Grade Girls
6th Grade Boys
6th Grade Girls
3
Jersey Size* This field is required.
YS
YM
YL
AS
AM
AL
AXL
AXXL
4
Mom's Name* This field is required.
First Name
Last Name
5
Mom's Phone Number* This field is required.
Area Code
Phone Number
6
Mom's Email* This field is required.
example@example.com
7
Dad's Name* This field is required.
First Name
Last Name
8
Dad's Phone Number* This field is required.
Area Code
Phone Number
9
Dad's Email* This field is required.
example@example.com
10
Participation Waiver* This field is required.The undersigned in partial consideration for the participation of his/her child in the Lisbon Little Blue Devil Basketball Program does hereby waive, release, and forever discharge the Lisbon Village School System, the Lisbon Roundball Club, and coaches for any and all injury of damages sustained by the participating child or his/her parents, legal guardian, heirs or successors arising from or out of participation. In addition, the undersigned does hereby agree to indemnify and save harmless the Lisbon Village School District, the Lisbon Roundball Club, Coaches, their agents, and employees from any claims or demands for loss, injury, or damage whatsoever arising from participation of his/her child in the above mentioned activity, including, but not limited to, negligence of said child.
Should be Empty: