Jr NBA Skills Challenge Registration
Online Registration Form
Participant's Name: *
Age: *
Mailing Address: *
Parent/Guardian/Emergency Contact #1 Name & Phone Number: *
Parent/Guardian/Emergency Contact #1 Email Address: *
Parent/Guardian/Emergency Contact #2 Name & Phone Number: *
Parent/Guardian/Emergency Contact #2 Email Address: *
Allergies/Special Needs:
Walker Sports Group Program Waiver: I do hereby give permission for the above named child to participate in Walker Group Programs and Activities. I waive any and all liability from Walker Sports Group, Inc. The child named above is in the appropriate physical condition to participate in the program and it is my responsibility to inform the staff of any medical conditions and/or food allergies which may affect my child’s participation in this program. *
Please type parent/guardian name below to confirm signature of waiver.
Photography/Video Release Forms: Please type parent/guardian name below to confirm signature of the Photograph/Video Release Forms. *
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