3on3 entry


Chalk Bluff Baptist Church 2nd Annual 3 on 3 Basketball Tournament

October 20, 2018

3 on 3 Basketball Tournament – Registration Form & Waiver $10 Registration Fee Per Team

Team Name:__________________________________________________________ Team Captain’s Name:__________________________________________________ Captain’s Address:______________________________________________________ Captain’s Phone:_______________________________________________________

Player #

Name & Phone Number

Grade

Date of Birth

Male/Female

ALL PLAYERS AND A PARENT/GUARDIAN FOR EACH PLAYER MUST SIGN THIS WAIVER

I understand that by signing this document, I acknowledge and assume the risks inherent in the 3 on 3

basketball tournament, and hereby relieve Chalk Bluff Baptist Church, Staff, and volunteers of any and

all liability

Player’s Signature:________________________________________Date:__________ Parent/Guardian Signature:_________________________________Date:__________

Player’s Signature:________________________________________Date:__________ Parent/Guardian Signature:_________________________________Date:__________

Player’s Signature:________________________________________Date:__________ Parent/Guardian Signature:_________________________________Date:__________

Player’s Signature:________________________________________Date:__________ Parent/Guardian Signature:_________________________________Date:__________

Player’s Signature:________________________________________Date:__________ Parent/Guardian Signature:_________________________________Date:__________

If applicable, please provide the name of your volunteer for a minimum of 1 hour time slot.

Completed registration form and waiver with your check need to be dropped off to your Church’s main office by October 12, 2018

Maximum Number of Teams Teams Limited to 10 Teams age 14 and under and 10 Teams age 14 and over.