Last Update: January 1, 2016
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Basketball Coaches Without Boundaries

Adult Women's Spring Basketball League 2016

(Individual Registration Form)

Individual Price:

$70.00   Per player* 

$55.00   Per player Team of 8 or more players (minimum 8 players per team)  

* Player will be placed on a team

Sign-up deadline: Monday, April 1, 2016
Please complete the application below and return with payment to: (make checks and money orders payable to BCWB)

Basketball Coaches Without Boundaries

Adult Women's Spring Basketball League

P. O. Box 3528

Frederick, Maryland 21705

Player Name: _______________________________________________________________________________________

Address: __________________________________________________________________________________________  

City, State, Zip: _____________________________________________________________________________________

 Phone: ______________________________________ Email:________________________________________________

 Parent(s)/Guardian(s) if under 18: _______________________________________________________________________

Height/Weight: _______/_______Preferred Position: _________________________________________________________

High Level Played Basketball ______________________________  Where at:_____________________________

Total enclosed: $________________

 Medical Release  

The undersigned, being the player or parent/legal guardian of the player requesting league admittance, does hereby affirm that the applicant is in good health and suffers from no illness, disability, or condition that requires the taking of medication on regular basis unless that condition is disclosed and approved. Furthermore, the undersigned has no knowledge of any reason the applicant cannot participate in vigorous physical activity. The undersigned hereby expressly agrees to be responsible for any medical bills incurred in the treatment of any illness or accident. In the event of any such accident or injury, I hereby consent to allowing any of the league supervisors to procure any medical treatment deemed advisable on behalf of my child or ward without prior consent. I understand that, as a condition of admittance as a league participant, the undersigned, on behalf of all parents and guardians, and behalf of the applicant, hereby release Basketball Coaches Without Boundaries and all other employees or agents of the league from any and all liability in regards to injury or illness, either mental or physical suffered by the league participant during or related to the league by the person or entity against which the claim is made.

I have read the above and agree to the league conditions:  

Player’s Signature                                                                                                                                                    Date     

 

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