FALL 2010 REGISTRATION...all fields required !
First Name
Last Name
Address
City
State
Zip
Home Phone
Parents Email
Check the program you are registering for
.....Fee determined by # of Tourney's played
.....Fee is $ 175, ($ 25 deposit, $ 150 due)
.....Fee is $ 140, ($ 25 deposit, $ 115 due)
Current Grade
(Make sure to click the Submit button prior to going to the appropriate paypal button)
Waiver : I understand and accept the condition that neither the "Basketball PLAYERS'S EDGE", Shot
Court Bsketball, the CBA-BPE Heat AAU, ABC Inc, facilities used, or anyone associated with this program assume responsibility for accidents and medical or dental expenses incurred as a results of participation in the program. I hold harmless and indemnify, Massasoit CC, the "Basketball PLAYER'S EDGE, Shot Court Basketball, the CBA-BPE Heat AAU, ABC Inc. I waive the right to make claim directly or indirectly for all known and unknown personal injuries or property damage now and hereafter. The applicant is in good health and able to participate fully and is covered by medical insurance as listed above.
REFUNDS : Refunds are pro-rated for injury only, for the "basketball PLAYER'S EDGE, and Shot Court with a Doctor's note, for the remaining sessions from the date written notification is received, minus a $ 25 non-refundable administration fee. There are no refunds for the CBA-BPE Heat AAU.
Players Birthdate (mm/dd/yyyy)
Parent/Guardian (Mom/Dad)
508-631-5066
Medical issues to be aware of :
BY PRINTING, OR EMAILING THIS FORM, I HAVE READ AND AGREE TO WAIVER & REFUND POLICY
Basketball Players Edge
Shot Court Basketball
PAYMENT OPTIONS
Complete the form above, then print it for a hard copy. Then choose which payment method.
1- By Check - Complete info above, print & mail with check to the address below.
2 - By Credit Card: Complete the form above, Click the submit button below. Come back to this page (Text Boxes will be blank when you come back, that's OK) and click the appropriate paypal button for program. Follow paypal instructions.
Check payable and Mail to : The program you are registering for
PO Box 795,
Bridgewater MA, 02324-0795
CBA-BPE Heat AAU
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