TEAM(S) BEING REGISTERED
Tournament Registration
CONTACT INFORMATION
PAYMENT
Registration Agreement
In enrolling in an event or program offered or sponsored by LongIslandBasketball.com, participant understands that he/she attends the programs and uses the facilities at his/her own risk. Furthermore, LongIslandBasketball.com and its owners, employees or agents, shall not be liable for any damage whatsoever arising from any personal injury or property loss sustained by any participant, or participant's family member, in or about any programs or at any location. Participants and parents assume full responsibility for all injuries and damages which occur in or about any programs on the premises. He/She does hereby fully and forever release, discharge, and hold harmless LongIslandBasketball.com, all associated facilities and their owners, employees, and agents from any and all claims, demands, damages, or rights of action, present or future, resulting from any person’s participation in any programs or use of the facility. In addition, he/she agree(s) to follow the rules of conduct and play set by LongIslandBasketball.com and the facilities it uses. Failure to do so may result in suspension from participation. Consent: I the undersigned parent or guardian/participant do hereby grant authority to the staff of Long IslandBasketball.com, or the staff of the facility where the event is being held, to render a judgement concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do hereby authorize LongIslandBasketball.com and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials or team films.
Amount to be charged to card:
If paying by check, make checks payable to:
Long Island Basketball.com
Put team name, age group, and date of tournament on check
Mail To:
LongIslandBasketball.com
27 Jay Court, Northport, NY 11768
REMEMBER, YOUR SPOT IS NOT GUARANTEED
UNTIL YOU ARE PAID IN FULL!
CHECK MORE THAN ONE IF YOU ARE ENTERING MORE THAN ONE TEAM IN THIS EVENT
CHOOSE PREFERRED DATE
EMAIL ADDRESS PHONE NUMBER CELL NUMBER
CONTACT NAME ADDRESS CITY STATE ZIP
