TEAM BEING REGISTERED
Tournament Registration
AUTHORIZED REPRESENTIVE INFORMATION
PAYMENT
Registration Agreement
As an authorized representative of your organization or team, you understand and agree that your team and players attend the basketball tournament and use the facilities completely at their own risk. Your organization assumes full responsibility for all injuries and damages which occur in or about any events or programs on the premises of any facility hosting a LongIslandbasketball.com tournament, and your organization 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 team's or individual's participation in any programs or use of the facility. Furthermore, LongIslandBasketball.com and its owners, employees or agents, shall not be held 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 events or at any location. In addition, participant agrees 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 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 if no parent or guardian is present. 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.
You can pay confidently with Google Checkout: ALL INFORMATION IS ENCRYPTED AND YOU GET 100% PROTECTION ON UNAUTHORIZED PURCHASES
If you pay by check or by cash, your spot is not assured until your cash is received or your check is received and clears, so get it in as soon as possible.
Others registering after you, but paying before you will go ahead of you in line.
Make checks payable to:
LongIslandBasketball.com
Put team name, age group, and date of tournament on check
Mail To:
LongIslandBasketball.com
27 Jay Court, Northport, NY 11768
PLEASE, IF YOU HAVE A CHANGE OF PLANS, LET US KNOW RIGHT AWAY!
YOUR PLACE IN THE TOURNAMENT WILL BE HELD FOR YOU AS LONG AS POSSIBLE, BUT REMEMBER, IT IS NOT GUARANTEED UNTIL YOU ARE PAID IN FULL!
CHOOSE YOUR DATE
EMAIL ADDRESS HOME PHONE NUMBER WORK PHONE NUMBER CELL NUMBER
NAME HOME ADDRESS CITY STATE ZIP
LongIslandBasketball.com
(You can register for more than 1 division at a time)
DIVISION:
THE FASTEST AND EASIEST WAY TO MAKE YOUR TEAM PAYMENT IS THROUGH GOOGLE CHECKOUT!
All Tournaments $350 for 3 Games Guaranteed! Champions in all divisions! Tournaments can be held at multiple locations.
