Muslim Basketball Association Online Registration
Help us make this the best experience you have ever had! Please make sure to fill out all of the information completely. We look forward to seeing you!
Group *
Please check the Age Group you would like to play in
First Name *
Your answer
Last Name *
Your answer
Grade *
Your answer
Year of Birth *
(the Year you where born in) i.e 2001
Your answer
Postal Code *
Your answer
Email *
Your answer
Main Contact Number *
Your answer
Cell Phone
Your answer
Parent Name: *
Your answer
Parent Contact Number: *
Your answer
Emergency Contact Name: *
Your answer
Emergency Contact Number: *
Your answer
Health Card Number: *
Your answer
Medical Conditions and/or Allergies: *
Your answer
Local Masjid
Your answer
Height
In inches i.e 5`10
Your answer
Jersey Size *
Please Specify Adult sizes from drop down menu.
What MBA Team did you play for Last Season *
Basketball Experience *
Suggestions or Comments About the MBA
you can speak on the experince you have had or something new you would like to see in the MBA
Your answer
Liability Release/Waiver: By submitting this form I am releasing the MBA League and all staff, volunteers, associates, sponsors and facilities from responsibility of any injury or damages that might occur during My Child's Participation in the MBA. I hereby authorize MBA League staff to act for My Child according to their judgment in any emergency requiring medical attention and I hereby waive and release the MBA League and its Volunteers from any and all liability stemming from any injuries or illnesses incurred while My Child is participating in any MBA Activity. I have no knowledge of any physical impairment which would be affected by My Child's participation in the MBA League. I understand that MBA League games and Practices consists of strenuous physical activity. *
Parent please review the above release.
Required
Media Release: I hereby give permission for my child to be photographed & filmed during the league's activities. I understand the photos will be used to keep a journal of activities, to share during presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper, social media and on ours & sponsors website. *
Parent please review the above release.
Required
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