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Mainland Basketball Reg. Form

PLAYER INFORMATION

PARENT/GUARDIAN #1

PARENT/GUARDIAN #2

MEDICAL/EMERGENCY CONTACT INFORMATION

WAIVER INFORMATION
RELEASE/HOLD HARMLESS:
I/we being the parents or guardians of the above named child hereby gives permission and approval for him/her to participate in any and all basketball activities including, but not limited to practices, scrimmages and games of the Linwood All Sports and Recreation (LASAR). I/we assume all the risks and hazards incidental to such participation including but not limited to practices, scrimmages, games and transportation to and from the games or other activities. I/we also agree to waive, release, absolve, indemnify and hold harmless Linwood All Sports and Recreation (LASAR) and the officers, board members, coaches, referees and other personnel involved with said organization against all loss or damage for any claim arising out of any injury to my child while participating in the basketball program.

 

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