2016-2017 Metropolis Youth Basketball League (Form)
Full Name *
Your answer
Home Address *
162 Goddard Avenue
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City, State, and Zip Code *
Brookline, MA 02445
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Home Phone Number *
617-277-4742
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Email Address *
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Emergency Contact Name *
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Emergency Contact Relationship *
Mother, Father, Brother, Sister, Grandparent, etc.
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Emergency Contact Phone Number *
617-277-4742
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Current Age *
Your answer
Date of Birth *
08/25/1991
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Current Grade *
Gender *
Name of the Church you Attend *
Sts. Constantine and Helen
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
Your answer
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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