Chobee Nation Summer Registration
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Email *
Athlete Full Name *
Athlete Age *
Athlete DOB *
Athlete Grade *
Athlete gender *
Athlete Shirt size *
Parent Name *
Parent Phone Number *
Does the ATHLETE have any allergies and or medical conditions? If YES please specify.
By signing your name below as a parent, and/or legal guardian of participant in Chobee Nation Basketball, you acknowledge that participation in the program exposes the participant to a possibility of personal injury. You, being fully aware that the participation in the program exposes you to a possible risk of personal injury, hereby release Chobee Nation and its instructors, directors, employees, members, independent contractors and affiliates from any and all liability from property damage, personal injuries, or other claims arising from or in connection with your participation in the program including claims that are known and unknown foreseen and unforeseen, future or contingent. You acknowledge that you have read and fully understand. This agreement shall be binding on you, your spouse, your children, legal representatives, heirs, successors, and assigns. *
A copy of your responses will be emailed to the address you provided.
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