Registration Form

All areas of this form must be completed prior to camper’s participation

Event / Camp Date

Team Information

Team Name Coach First Name Coach Last Name Address City State Zip Home Phone Cell Email Player 1 First Name Player 1 Last Name Player 1 T-Shirt Size YS YM AM AL AXL Player 1 Email Player 2 First Name Player 2 Last Name Player 2 T-Shirt Size YS YM AM AL AXL Player 2 Email Player 3 First Name Player 3 Last Name Player 3 T-Shirt Size YS YM AM AL AXL Player 3 Email Player 4 First Name Player 4 Last Name Player 4 T-Shirt Size YS YM AM AL AXL Player 4 Email Player 5 First Name Player 5 Last Name Player 5 T-Shirt Size YS YM AM AL AXL Player 5 Email Player 6 First Name Player 6 Last Name Player 6 T-Shirt Size YS YM AM AL AXL Player 6 Email Player 7 First Name Player 7 Last Name Player 7 T-Shirt Size YS YM AM AL AXL Player 7 Email Player 8 First Name Player 8 Last Name Player 8 T-Shirt Size YS YM AM AL AXL Player 8 Email Player 9 First Name Player 9 Last Name Player 9 T-Shirt Size YS YM AM AL AXL Player 9 Email Player 10 First Name Player 10 Last Name Player 10 T-Shirt Size YS YM AM AL AXL Player 10 Email

Parental Consent/Release By checking this box I confirm that I have the Parental Consent of all players for them to participate in the tournament.         I hereby acknowledge and agree that there is risk of serious injury and/or loss associated with participation in the OverTime Basketball Event. As a condition of participation, players assume that risk and forever waive and agree to hold OverTime Basketball Academy and all relative athletic facilities harmless from any and all claims, liabilities, and/or damages arising out of player participation in the camp. Players understand that they will not be permitted to participate in the event without signing this agreement.