EmailMe Form - Fall/Winter Basketball League

Child's Name *

First Last

Parent or Legal Guardian *

First Last

Phone *

### - ### - ####

Alternative Phone

### - ### - ####

Email *

Gender *

Boy

Girl

PLEASE SELECT THE GRADE YOUR CHILD IS CURRENTLY IN *

School *

Jersey size *

Does your child have any pre-existing health issues? *

Yes

No

If you answered (yes)please explain below!

Waiver please sign below after reading.
Waiver of Liability!
I hereby approve my child to participate in the Ms Play Sports Fall/Winter League 2023-2024. I'm under the impression and fully understand that my child is participating at his or her own risk. I understand that injuries may occur when players or said kids are competing in sports or extra curricular activities. I hereby fully and forever release, discharge, and agree not to sue Mississippi Play Sports, owners, or staff, their Directors, Local sponsors, any Staff members, Coaches, employees, or assistants, and successors for any and all claims, causes of action or liability for any injury, loss or damage sustained, the result of death, incurred by my child or myself arising out of or in anyway associated with my childs involvement and participation in this here League.
Please Sign Below * *

Clear

Would you or someone you know be interested in being a Volunteer coach this season? *

Yes

No

Primary Practice Location. *

MBA(Jackson)

F5(Flowood)