Briers Program Registration Form (Online)

Briers Program Registration Form (Online)

Briers Basketball Registration Form
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Select Basketball Program:
How did you become aware of the Briers Program?:
Basketball Player's Name:
Gender:
Basketball Skill Level:
Address:
Refund Policy:
Note: [$30 charge on all NSF] Refunds for non-rep programs, will be issued after a written request (email accepted) is received subject to the following: 1. Full refund less $20.00 administration fee if the refund request is received prior to the first scheduled program session. 2. If the refund request is received on or after the start date of the first scheduled program session, a prorated number of sessions refund from the date of the written request is received, less $20.00 administration fee and less OBA player insurance fee. Rep Program - There are no refunds due to the difficulty of replacing players and upfront fees paid for season play, insurance, and gyms.
Parent/Legal Guardian Permission & Agreement:
LIABILITY WAIVER: To: THE BRIERS BASKETBALL CLUB, its agents, employees, contractors, administrators, sponsors, coaches, convenors, managers or assigns: I, the undersigned, the parent or legal guardian of Participant Named Above (hereinafter referred to as “the player”), hereby authorize and permit the player to participate in the activities of the Briers Basketball Club. In giving this authorization and, in the event of any injury or loss occurring to the player at any time during the current season, I hereby release and agree to bring no action whatsoever or assert any cause of action whatsoever against the Briers Basketball Club, or any of its agents, employees, administrators, sponsors, coaches, convenors, managers or assigns by reason of any alleged act of negligence, breach of contract or statutory duty or any other cause of action known to law. I, the undersigned, acknowledge that the above-noted LIABILITY WAIVER, is applicable to me when I am participating in the activities of the Briers Basketball Club. By signing below, I assume all risks associated with the game of basketball.

PHOTO USE: I hereby agree that the above participant’s name/photograph/image/audio recording/video recording, or other visual reproduction may be used by Brantford Briers Basketball, its agents, employees, administrators, sponsors, coaches, convenors, managers or assigns, in its promotional, publicity and informational material.

NAME USE: I consent to the use of the participant’s name for the purposes of publishing participant names, game results and statistics

I acknowledge receiving email updates from our organization through your program registration with Briers Basketball Club.

I acknowledge participants are to provide their own basketball. Recommended ball size; [Ages 11 & younger - #5 (27.5)] [Ages 12 & 13 - #6 (28.5)] [Girls 14+ - #6 (28.5)] [Boys 14+ - #7 (29.5)]

If, in the sole discretion of our coaches/convenors, you, and/or the participant, disrespect the Ontario Basketball Association ‘Fair Play Policy’, you, and/or the participant, will be asked to leave the facility. Penalties for misconduct may be imposed.

I, the undersigned, certify that I have read and agree to all the terms and conditions as noted above, and do intent to be legally bound thereby.
Signature - enter name: (Parent/Legal Guardian Signature if Participant is under 18 years of age):
$0.00

 


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