Basketball League 2018 - Registration Form
Mailing Address: 117 Chatillon, Dollard Des Ormeaux, Quebec, H9B 1B4
Telephone Number: 514-941-8404
E-mail: evan@sport-life.ca
Website: www.sport-life.ca
PLAYER
First Name *
Your answer
Last Name *
Your answer
Gender *
Required
Age *
(as of January 1, 2018)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Your answer
City *
Your answer
Postal Code *
Your answer
School *
Your answer
Grade *
Your answer
Medicare # *
Your answer
Preferred Division (Note: division split will depend on registration) *
PARENTS
Mother's Name *
Your answer
Father's Name *
Your answer
PHONE NUMBERS & E-MAIL
Home
Your answer
Mother Work Phone
Your answer
Mother Cell Phone
Your answer
Mother E-mail *
Your answer
Father Work Phone
Your answer
Father Cell Phone
Your answer
Father E-mail *
Your answer
LANGUAGES
First Language
Your answer
Languages Spoken
Your answer
TEAMMATE REQUESTS
Note: Volunteer coaches will take your request into consideration, however there are no guarantees.
Desired Teammates
Your answer
OTHER INFORMATION
Is there any other information that you think we should know about?
Your answer
PLAYER PROFILE
Please send us a digital picture of your child as well as the following information to complete their online player profile
Height *
Your answer
Weight *
Your answer
Favourite NBA Team *
Your answer
Favourite NBA Player *
Your answer
Favourite Pre-Game Meal *
Your answer
HOW DID YOU HEAR ABOUT US?
Referred by: *
Required
REGISTRATION PAYMENT
Payment of $275 (tax in.) must be made to confirm registration.
Method of Payment *
e-Transfer (preferred), cheque or cash
Your answer
Name on Cheque
Your answer
Cheque #
Your answer
Amount *
Your answer
TERMS & CONDITIONS
The parties hereto have agreed that this agreement be prepared and executed in the English language.
Les parties ont convenu que cet accord soit préparé et exécuté dans la langue anglaise.

1. Registration is only confirmed when accompanied with a $275.00 deposit for each player. Families with two or more children must fill out a separate registration form for each child.

2. Player Registration and full payment are due by January 9, 2018 at the latest. Players who attempt to register after January 9, 2018 will not be allowed to participate.

3. Once payment has been made, there will be no refunds allowed.

4. Parents agree to sign all forms and waivers provided by the league, to assume all risks, both known and unknown, in the participation of league activities, thereby releasing SportLife of any liability.

5. It should also be noted that the league will not be held responsible for damages, loss or injury, infection or contamination to players during the league, unless caused by the gross negligence and willful misconduct of the league itself.

6. The league is allowed to terminate this contract and the registration of the player if, in the rational opinion of the league commissioner, that the presence of the player creates a risk to the health, integrity, security, safety and/or positive environment of other players or coaches.

I agree to stand by the above conditions of enrolment and have the team enclose the full deposit to the order of SPORTLIFE, by January 9, 2018.

It is hereby recognized that as of the date indicated below, SPORTLIFE has commenced performance of its obligations.
Given that SportLife takes pictures and videos of my child during his/her league activities, I authorize the league to use this material in full or in part for publicity purposes such as brochures, social media or website display. Additionally, given that SportLife tracks sports statistics and biographical information of each child, I authorize the league to use this material in full or in part for publicity purposes such as brochures, social media or website display.

All material will remain the property of SportLife.

I consent to receive commercial electronic messages from SportLife.


Parent's Name *
Your answer
E-mail Address *
Your answer
Date *
Your answer
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