Monday, 06 Sep 2010
 
 
registration
  • NESYB 2010 Fall/Winter Basketball Registration Form

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  • Do you have your uniform from last year?

  • If YES please enter your jersey number

  • If NO then please select both shirt and short sizes

  • Emergency Contact (Different from above)
  • RELEASE OF LIABILITY, PHOTO RELEASE.
  • 1. Release of Liability . I, for myself, my minor child and for the child’s other parent and/or guardian, hereby release, waive, discharge, and covenant not to sue NESYB, and its officers, directors, employees, agents, volunteers, heirs and assigns of and from all liability, loss, claims, demands, possible causes of action, court costs, attorneys' fees and other expenses arising from any lawsuit that may otherwise accrue from any loss, damage or injury to my child’s person or property in any way resulting from or connected with my child’s attendance with NESYB, including, without limitation, the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons.


    2. Photo Release . Consent for name/picture use: I give my permission to have my child’s name, photo and/or video used for publicity purposes (brochures/website/news publications).

  • If this document is printed please sign below:
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    Parent or Legal Guardian signature

  • Click below to submit registration form
  • Please choose "NESYB Registration Fee".This is a requirement in order to have your son/daughter play. Registration will NOT be excepted if the "NESYB Registration Fee" is not selected.

  • Should be Empty: