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Player Info

First Name:*
Last Name:*

Birthday:*

Grade Range:*

Gender:*
Height:		ft		in

Skill Level:
Shirt Size:

Contact Information

Phone Number #1:*

Phone Number #2:

Email:

Twitter:

Instagram:

Address:*
Street:
City:
State:		Zipcode:

Emergency Contact Information

First Name:*
Last Name:*

Relationship to Player:*

Phone Number #1:*

Phone Number #2:

Email:

Address:*
Street:
City:
State:		Zipcode:

Disclaimers

	I understand and recognize the risk for participation in any physical activity. I accept that I will not under any circumstances hold Chase Community Ventures liable for any injuries received during participation in the Summer 2022 Basketball League.
	I give full permission to Chase Community Ventures to use my likeness in any media or promotions, including but not limited to photo and video captures.
	By registering I agree to participate in at least one community service workshop in association with Chase Community Ventures. By failing to participate in a workshop, I recognize that I will be barred from participation in the playoffs and championships.
	I will not under any circumstances consume alchohlic beverages, smoke, vape, or use any drugs in the general proximity of the basketball courts. I recognize that failure to withold these rules can result in immediate termination from the basketball league.