REGISTRATION FORM

Programs

Jr. NBA Boys/Girls (Ages 5-12)

U10/11/12 Boys Competitive/OBA Team

U14 Boys Competitive/OBA Team

U15 Boys Competitive/OBA Team

U16 Boys Competitive/OBA Team

THE HIVE HOUSE LEAGUE (U10 to U16 Boys & Girls)

U15 Girls Competitive/OBA Team

Parent Name *

First Name

Last Name

Phone

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Student Athlete's Full Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Emergency Contact Info. *

First Name

Last Name

Emergency Contact Number *

(###)

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Media Waiver *

I/We hereby authorize any images or video footage taken of my youth (under 18 years of age), in whole or in part, individually or in conjunction with other images and video footage, to be displayed on the MALTON STING BASKETBALL CLUB / MALTON STING YOUTH BASKETBALL ORGANIZATION website, social media pages and other official channels, and to be used for media purposes including promotional presentations and marketing campaigns. I/We waive rights to privacy and compensation, which I/We may have in connection with such use of my youth’s name and likeness, including rights to be written copy that may be created in connection with video production, editing and promotion therewith. I/We are over 19 years-of-age and the parent or legal guardian of the youth, and I/We have read this waiver and are familiar with its content

I/We have read and agree to the above text.

Liability Waiver *

I/We VOLUNTARILY AGREE TO COMPLY with the stated terms and conditions for participation. I/We in return for my child’s opportunity to participate in all MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB programs and activities do hereby exempt and release MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB'S directors, officers, employees, volunteers, and agents from any and all liability, claims, demands or actions whatsoever arising out of any damage, loss, or injury that my child or I/We might sustain while my child is participating in the Malton Sting Basketball Club programs, whether or not damage, loss or injury results from the negligence of the MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB directors, officers, employees, volunteers or agents or any defective equipment or facilities. I/We hereby authorize the staff of the MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB to act for me (in my absence) according to their best judgment in any emergency situation requiring medical attention. I/We hereby release, discharge, indemnify, and hold harmless the MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB from any and all liability, injuries, or illnesses incurred while participating in the MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB programs. I/We understand and assume hazards associated with this type of programming and waive all claims against MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB's directors, officers, employees, volunteers, and agents. I/We understand that if I/We do not sign this release, then my child will not be permitted to participate in the MALTON YOUTH BASKETBALL ORGANIZATION /MALTON STING BASKETBALL CLUB's programs.

I/We have read and agree to the above text.