2016-2017 Metropolis Youth Basketball League (Form)
162 Goddard Avenue
City, State, and Zip Code
Brookline, MA 02445
Home Phone Number
Emergency Contact Name
Emergency Contact Relationship
Mother, Father, Brother, Sister, Grandparent, etc.
Emergency Contact Phone Number
Date of Birth
Name of the Church you Attend
Sts. Constantine and Helen
Saints Constantine and Helen Church- Andover, MA
Saint Spyridon Cathedral- Worcester, MA
Assumption Church- Pawtucket, RI
Saint George Church- Lynn,MA
Saint Vasilios Church- Peabody, MA
Saint Catherine Church- Braintree, MA
Annunciation Church- Brockton, MA
Saint Athanasios the Great Church- Arlington, MA
Saint Nicholas Church- Lexington, MA
Saint Nectarios Church- Roslindale, MA
Taxiarchae Church- Watertown, MA
Saint Demetrios Church- Weston, MA
Annunciation Church- Woburn, MA
IF YOUR PARISH WAS NOT LISTED ABOVE AND YOU CHOSE "OTHER" please provide us with your home parish information below.
Example: Annunciation Church - Newburyport, MA
I, give my consent and approval for participation in any and all activities of the Greek Orthodox Metropolis of Boston Metropolis Youth Basketball League (M.Y.B.L.). In consideration of my acceptance in said activities, I the undersigned do hereby agree to indemnify and hold harmless the Metropolis Youth Basketball League (M.Y.B.L.), under the auspices of the Greek Orthodox Metropolis of Boston, its directors, officers, coaches, and agents, and all churches/parishes that fall under its jurisdiction, without regard to any negligence on their part, against any claim for damages, compensation or otherwise including all losses and expenses caused to or by me while participating in any Athletic Program or activity of the Metropolis Youth Basketball League, under the auspices of the Greek Orthodox Metropolis of Boston.
Player, please fill in your name here and by doing so you agree to abide by the terms of the MYBL.
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