Player Consent Form
LBA Season 2017/18

Please read the following. By completing this form you agree with the disclaimer below.

I understand that there is risk of injury associated with participating in any exercise programme or sports activity and I certify that I am in good physical condition and have no known health conditions that might otherwise be detrimental to my health or well-being. I understand that The London Basketball Association and London Rec Basketball accept no liability for any accidents, injuries or any responsibility for lost valuables whilst attending our sessions.

I certify that all of the information I provide below is true and accurate.

Age (D.O.B) *
MM
/
DD
/
YYYY
Phone number *
Your answer
Name *
First and Last
Your answer
Email *
Your answer
Post code *
Your answer
State Activity
Ethnicity *
Do you have a disability? *
School Name *
Your answer
Gender *
Twitter
Your answer
Instagram
Your answer
Team Name
Your answer
Photography Consent *
The player and their parent/guardian give consent for photographs or recorded images to be taken. The signee(s) have read and understand the 'Guidelines for the use "Protecting Young People Under the Age of 18 and vulnerable Adult"s' of the LBA's Data Protection Policy, which you can find in the league rules. Please Note: All data will only be used towards LBA objectives and never sold to third parties.
Signature from Parent/Guardian *
Type name in box (electronic signatures)
Your answer
Emergency contact - Name *
First and last
Your answer
Emergency contact - Phone number *
Your answer
Emergency contact - Email address *
Your answer
Don't forget to check out www.thelba.co.uk & Facebook page (London Basketball Association)
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