NEWTON METROWEST BASKETBALL REGISTRATION FORM

Please do not register until you have been informed you have made the team

Player's Name:

Coach's Name:

School: Grade: Male/Female:

Home Telephone:

Parent/Guardian Name #1 (Last, First):

Parent/Guardian #1 e-mail:

Parent/Guardian Name #2 (Last, First):

Parent/Guardian #2 e-mail:

As parent/guardian of the above named player, I hereby give my consent to his/her participation in the
Metrowest Youth Basketball Corp. league including transportation to and from activities. I do hereby
waive, release, absolve from liability, indemnify and agree to hold harmless for all damages, direct or
consequential, the directors, officers, coordinators, coaches, participants, of Metrowest Youth Basketball
Corp., the Newton Metrowest Basketball Program, and any of its officials, as well as those transporting
the above named child to or from the activities, for any injuries sustained by the named child for any
injuries sustained by him/her as a result of their participation in the program and hereby certify that the
above named child is in good physical health and capable of participating in the above named sport. I
also assume responsibility for any damage the above named child may cause to any school or other
facility where the league is playing.

I agree to the above waiver