ESPNLA Youth Basketball Tournament

Registration Form

Team Name (required)

Head Coach (required)

Cell # (required)

Address (required)

City (required)

State (required)

Zip (required)

Email (required)

Boys or Girls Team? (required)

Type of Team (One team per form) (required)

Player 1 (required)

Jersey Number (required)

Name (required)

DOB (required)

Grade(required)

Player 2 (required)

Jersey Number (required)

Name (required)

DOB (required)

Grade(required)

Player 3 (required)

Jersey Number (required)

Name (required)

DOB (required)

Grade(required)

Player 4 (required)

Jersey Number (required)

Name (required)

DOB (required)

Grade(required)

Player 5 (required)

Jersey Number (required)

Name (required)

DOB (required)

Grade(required)

Player 6 (optional)

Jersey Number

Name

DOB

Grade

Player 7 (optional)

Jersey Number

Name

DOB

Grade

Player 8 (optional)

Jersey Number

Name

DOB

Grade

Player 9 (optional)

Jersey Number

Name

DOB

Grade

Player 10 (optional)

Jersey Number

Name

DOB

Grade

ROSTER AND PARTICIPATION AGREEMENT:

In consideration of being allowed to participate, each participate and their legal representative, waive all claims for injury, accident or loss of any kind and hereby release The MAP Sports Facility, ESPNLA, sponsoring organizations, and their employees, members and representatives from any claims or liability. As further consideration to participation, this agreement shall apply and extend to any and all of The MAP Sports Facility tournaments. As Coach, I will accept full responsibility for the conduct of my players, coaches and fans on and off the court and will promote only the best sportsmanship among all of us, win or lose. I further agree that my players, coaches, fans and I will be bound by the Rules and Regulations of The MAP Sports Facility and ESPNLA.


Sponsors