Basketball League Sign up form | with Payment

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On a team or individual?(Required)
T-Shirt Size(Required)

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League Fee:  $75 per player & $100 non-member
* VERDURE shirt provided* 
* Minimum of 5 players, Max of 10 players* 
*All players must be 15 years old or older*
*COED teams are welcome, but not a requirement * 
*Team Captain must be a VERDURE Member* 
*Late Fee of $25 per player for registration after 9/5*
*Must sign liability waiver* 
Membership Status(Required)

Liability waiver(Required)
Please read this form carefully and be aware that in signing up and participating in this program’s activity, you will be expressly assuming the risk and legal liability, and will be waiving and releasing all claims for injuries, damages, or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with the program/activity. 
 
I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages, or loss, regardless of severity that I or my minor child/ward may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me and my minor child/ward) as a result of participating in this program/activity against the PROGRAM, including its officials, agents, volunteers, and employees. 
 
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effects as an original form signature. 
This field is for validation purposes and should be left unchanged.