Jr. Mustangs Basketball Registration Form
Youth Basketball Registration Form
Instructions:
After submitting your completed form you will be taken to a link that will allow you to pay your registration for the league.
Requests:
Due to the difficulty of meeting all the requests for coaches, teammates, etc., this year we will not be taking requests. Teams will be organized by towns and schools. Thanks for your understanding in this matter.
Participant's First Name
Your answer
Participant's Last Name
Your answer
Gender
Address
Your answer
City
Your answer
Zip
Your answer
Grade
My child's basketball ability is:
Current School
Your answer
Home Phone
Your answer
Other Phone
Your answer
E-Mail
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Other Information (allergies, medications, disabilities, behavioral problems, etc.)
Your answer
Jersey needed?
Jersey Size (if needed)
Tee Shirt Size
I am willing to volunteer
PLEASE READ BEFORE SUBMITTING: 1) I hereby recognize and acknowledge that participation in recreational activities may involve bodily injury or emotional injury to my child and others. In consideration of my child being permitted to participate in Jr. Mustangs, I hereby voluntarily and knowingly execute this release with the intent of binding myself, the below names minor, and any other having an interest, and do hereby expressly release, waive, and discharge Mountain Crest, and its officers, employees, and volunteers, from all liability or claims therefore resulting from my child's participating in the above, referenced recreational activities. 2) I hereby consent to my child's participation in the recreation programs, and do further authorize the Mountain Crest and Jr. Mustang staff to act on my behalf in accordance with the the best judgement in the case of an emergency and do agree to assume full responsibility for all medical expenses that may arise therefore. 3) By electronically signing this document, I acknowledge that I have read its contents and disclosures, that I understand them, and that I agree to the terms hereof. I further acknowledge that this release is intended to be as broad and as inclusive as may be permitted by the laws of the State of Utah, and that if any portion here from is found to be invalid, it is agreed that the balance shall continue if full force and effect.
Electronic Signature
Your answer
Date
MM
/
DD
/
YYYY
Would you be interested in our Jr. Mustang Competitive League?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms