Summer Basketball

* Indicates required field

Child's Name *

First

Last

Age *

Parent's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Waiver *

As the Parent of the child named above, I hereby give my full consent and approval for my child to participate in the Sky High Basketball League. I hereby certify that my child is fully capable of participating in the designated sport and that he/she is healthy and have no mental or physical disabilities or infirmities that would restrict full participation in this activity. In addition to giving my full consent for my child's participation, I do hereby waive, release and hold harmless the organization, it's officers, coaches, supervisors and representatives for any injury that may occur during the course of participation in the designated sport and activities incidental thereto, whether the result of negligence or any other cause.

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