JRB Registration Form
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

View only
 
 
ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Jr Bison Boys Basketball Registration Form and WaiverID CAMP #:
2
3
4
5
PLAYER INFO (PLEASE PRINT)
6
FIRST NAME:LAST NAME:
7
8
DATE OF BIRTH:
9
10
(MONTH-DAY-YEAR)
11
PLAYER EMAIL:PLAYER CELL NUMBER:
12
13
ADDRESS:POSTAL CODE:
14
15
16
PARENT / GUARDIAN CONTACT INFO (PLEASE PRINT)
17
FIRST NAME:LAST NAME:
18
19
EMAIL:
20
21
CELL NUMBER:
22
23
24
25
26
LIABILITY WAIVER: I am aware that participation in the Jr Bison Boys Basketball (JRB) ID camp and program has some inherent risks and injury can occur. On rare occasions these injuries can be serious. In consideration of my child being allowed to participate in the JRB ID camp and program, I, the parent/guardian, assume the risk of all injury and agree not to sue the Junior Bison Boys Basketball Club or the University of Manitoba, the camp directors, coaches, assistant coaches, team managers, agents, or volunteers for any and all injuries caused by or resulting from participating in the JRB Basketball ID camp and program.
27
28
29
30
31
32
I ackowledge that the JRB program may: A.) photograph and videotape my child for the purposes of evaluation at the ID Camp; B.) will use information gathered on this form to communicate with us, that this information will be shared with other team members and that, on occasion, pictures and/or video of my child will be loaded to the team website(s).
33
34
35
36
The undersigned parent/legal guardian of the above mentioned applicant has read and understands the above agreement, and accepts and agrees to the terms and conditions of this waiver/release form.
37
38
Parent / Guardian Signature:Date:August ____, 2018
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Loading...
Main menu