Basketball Team Sorting Activity Waiver
Please complete this form to provide your details and acknowledge the waiver before participating in the basketball team sorting activity.
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any medical conditions or allergies we should be aware of? If yes, please specify.
Basketball Experience Level
*
Beginner
Intermediate
Advanced
Preferred Playing Position
Guard
Forward
Center
No Preference
Other
Do you have any previous injuries that may affect your participation? If yes, please describe.
Participant Signature
*
Submit Waiver
Submit Waiver
Should be Empty: