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1st Annual ICMC 3v3 Basketball Tournament Registration Form
Please fill in your information below.
What is your name? *
Your answer
What is your age? *
Your answer
What is your height? *
Your answer
Email Address? *
Your answer
Phone Number? *
Your answer
T-Shirt Size (All players who register will receive one.) *
What is your Basketball Skill Level? *
How would you like to Pay? ($20 fee). If paying online, MAKE SURE to RETURN to this form to SUBMIT your final registration. *
Waiver: On behalf of myself and my child, I certify that I/my child is in normal health and capable of participation in any program offered by ICMC. I further certify that I/my child has medical insurance to cover any injuries sustained as a result of his or her participation in ICMC programs. I hereby give my consent and permission for the ICMC staff to secure emergency medical treatment, including transportation and physician, if required, and I agree to be financially responsible for the costs of such treatment and/or transportation. On behalf of myself and my child, I agree to hold harmless ICMC, its leadership, and organizers from any responsibility for any and all personal injuries or death which may result from my child’s participation in this tournament offered by ICMC. I hereby agree to assume any and all of the liability and risks of myself/my child participating in this tournament and to hold harmless and indemnify ICMC as to any action brought by my child or anyone acting on his/her behalf. I have read and fully understand this waiver. *
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