Basketball Registration Form

Please complete the registration and click on "Submit Registration and Proceed to Payment".

Number of kids being registered

Date

Child's First Name

Child's Last Name

Grade

Gender

2nd Child's First Name

2nd Child's Last Name

Grade

Gender

3rd Child's First Name

3rd Child's Last Name

Grade

Gender

4th Child's First Name

4th Child's Last Name

Grade

Gender

Mother's First Name

Mother's Last Name

Mother's Phone Number

Mother's Email

Father's First Name

Father's Last Name

Father's Phone Number

Father's Email

Willing to coach?

Yes

Name of parent willing to coach

I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the Catholic Grade School Athletic Association (CGSAA) and Christ the King Catholic School (CK). Recognizing the possibility of physical injury associated with basketball and in consideration of CGSAA and CK accepting the registration of the registrant, I hereby release, discharge and/or otherwise indemnify CGSAA and CK, against any claims by or on behalf of the registrant as a result of the registrant's participation in the Program.

In the event that I, as the parent of legal guardian of the above named player(s), are not present when an injury or other medical emergency occurs, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever conditions are necessary to preserve the life, limb or well-being of my dependent.

Parent/Guardian E-Signature consenting to statements above.

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Welcome To

Christ The King School

Welcome To

Christ The King School

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Basketball Registration Form