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Registration Form for WestCoast Hoops Unsigned 2014 Senior Showcase

March 8, 2014
By Leroy White of California



Plesase fill out below and attache & email it to yducray@yahoo.com 

or 

mail it to 3687 S. LaCienega Blvd., #E Los Angeles, CA 90016

 

2014 Westcoast Hoops High School Senior Showcase
March 29th, 2014 @ Bellflower High School (Bellflower CA)

PLAYER REGISTRATION FORM
(please print)

 

Name_________________ School _____________________________


Home Address ______________________________________________


City ______________________________________ Zip Code _________________


Phone (       ) ______________________ e-mail ____________________________


Height ___________ Weight _________


Parent/Guardian _______________________________________________

 Fee $75.00

HEALTH AND BEHAVIOR GUIDELINES AND WAIVER OF LIABILITY


HEALTH INSURANCE CO. ________________________________________


Policy No. _____________________________ Group No. ______________ _

I understand that any Westcoast Hoops showcase participant who does not abide by rules, regulations and policies established by the Westcoast Hoops showcase is subject to dismissal without reimbursement or recourse and I hereby waive and release the Westcoast Hoops and Bellflower HS from any and all liability for any injury or illness while participating in the camp.  I hereby authorize the directors of the Westcoast Hoops and Bellflower HS to HS to act according to their best judgment in any emergency if I cannot be contacted.  I understand that camp participant is required to have his own medical and accident insurance.  I also understand that Westcoast Hoops retains the rights to use for publicity and advertisements purposes, photographs of camp participants. 

 

 

___________________________________________________________________

SIGNATURE OF PARENT OR GUARDIAN 

 


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