MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01CABAF0.D21131A0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01CABAF0.D21131A0 Content-Location: file:///C:/CF43C0F7/KBASPORTSTEAMBASKETBALLLEAGUESNEW.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" KBA SPORTS TEAM BASKETBALL LEAGUES

KBA SPORTS TEAM BASKETBALL LEAGUES

 

Directions: All information must be valid and complete at the time = of registration. See www.playkba.com for Deadlines and Start Dates.=

 

Coach’s Name:  

Contact Phone #:

Address:

City, Stat= e, Zip Code:

Team Name:

E-mail Address:

Circle One:   High School  /  Middle School   =

League (Fees): $500= .00 /8 games/ Sunday Games after 1pm

 

Note:  No more then 14 playe= rs are allowed on one team.

 

NAME
Pleas= e Print First, Middle initial, & Last Name

 

Grade

 

Jersey #

 

School=

1.

 

 

 

2.

 

 

 

3.

 

 

 

4.

 

 

 

5.

 

 

 

6.

 

 

 

7.

 

 

 

8.

 

 

 

9.

 

 

 

10.

 

 

 

 

Put addit= ional Players on Back of Sheet (14 Limit)

.

&nbs= p;

&nbs= p;

Please re= ad and sign:   I/WE recognize and understand that basketball is a sport involving risks not encountered in everyday play.&nb= sp; With this understanding, in consideration of the Kentucky Basketball Academy permitting myself to participate in the sports programs, I covenant= and agree to indemnify and hold harmless and do release, requite and forever discharge, Kentucky Basketball Academy, its officers, coaches, referees, employees, volunteers and other such people as are connected with the leagu= e in any capacity, for any and all damages, claims, and/or liabilities arising o= ut of any and all injury to or caused by myself. I hereby authorize any and all emergency medical treatment deemed necessary by any physician, nurse, or paramedic. A copy of this authorization shall be effective as the original.= (Signature line above.)

 =

For Office Use Only

 

 

 
 
 <= /p>

 

Schedule League: _________

 

Staff Int. ________________            <= /span>
 
Coach’s  Signature            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;   Date

 

 

Updated: 2/28/2010

 

 

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