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REP TRYOUT REGISTRATION FORM
The following registration form must be completed in order to be eligible to try out for one of the East York Eagles Rep basketball teams. Please ensure that the form is completed accurately and in its entirety.

Tryout dates will be announced and posted in late-August/early-September. All registrants will receive an email notification regarding tryouts once the details have been announced.

A one-time $10 registration fee per player will be collected, at the door, during the first tryout session. Please ensure exact cash only.

PARTICIPANT INFORMATION
Full Name Alison Palmer *
Your answer
Date of Birth *
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Gender *
Medical Conditions (if none type N/A) *
Your answer
Allergies (if none type N/A) *
Your answer
Injuries (if none type N/A) *
Your answer
What Rep Club did you play for last season? *
Your answer
PARENT/GUARDIAN INFORMATION
Full Name *
Your answer
Relationship to Participant *
Your answer
Email Address *
Your answer
Cell Phone # *
Your answer
Home Phone # *
Your answer
Home Address *
Your answer
WAIVER & RELEASE
As the parent or guardian of the above named player participating in the East York Basketball Club (EYBC) Rep program, I hereby give my approval for the player’s participation in any and all of the activities during the 2018-2019 basketball season, including but not limited to tryouts, practices, drills, games, playoffs, tournaments and any other activity associated with the East York Basketball Club program.

I acknowledge that I have accurately represented the player's health history and that the player has the physical capacity necessary to engage in any and all activities during the 2018-2019 basketball season.

I further acknowledging that such participation involves risks and hazards incidental thereto, all of which are expressly assumed by me, and do hereby waive, release and absolve and agree to indemnify and save harmless the East York Basketball Club and its officers, directors, organizers, officials, supervisors, coaches, assistant coaches, and volunteers of any and all liability arising there from.

I have thoroughly read the above Waiver and Release and fully understand its contents. I understand this is a release and that I am giving up substantial rights by signing it and do hereby sign voluntarily.

Parent/Guardian Signature (type in full name) *
Your answer
Date *
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