Bridge Building Basketball Registration Form
Registration Form
Athlete Last Name *
Your answer
Athlete First Name
Your answer
Sex *
Age *
Your answer
Grade *
School Attended *
Your answer
Parent Full Name *
Your answer
Parent Email *
Your answer
Parent Phone Number *
Your answer
Emergency Contact Name & Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Medical Problems/Medications/Previous Injury
Your answer
Please read the waiver and type your initials below. By typing your initials you agree to terms of the waiver. *
Captionless Image
Your answer
Photo & Video Release
I hereby give permission for images of my child, be captured during The Bridge Building Program Events and Activities through video, photo and digital camera, to be used solely for the purposes of The Bridge Building Program promotional material and publications, and waive any rights of compensation or ownership thereto. Please type your initials below to agree or type NO to disagree. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.