Chattanooga Fall League Individual Registration Form
Please fill in the form below.
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Chattanooga Fall D-League 2019
First Name
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Last Name
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Gender
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Male
Female
Name of High School/Middle School
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Year In School for 2019-2020 School Year
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5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Parent's Name
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First Name
Last Name
Parent's E-mail
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Parent's Phone Number
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Area Code
Phone Number
Player's E-mail
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Player's Phone Number
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Area Code
Phone Number
Age
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Please summarize your high school or middle school statistics and honors.
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High School/Middle School Coach Name
High School/Middle School Coach's Phone Number
High School/Middle School Coach's Email Address
Release of Liability
I understand the fees that are associated with D-League. I understand that I must submit full payment on-site if I do not submit payment online. I understand that my child will not be able to participate if payment is not received. If my child/children cannot make the scheduled event, I will not receive a refund, however my funds will be applied to a future Chattanooga D-League event. *
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I Agree
I understand that my child must bring his or her own jersey to participate in the Chattanooga D-League.
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I Agree
I have read and acknowledged the Accident Waiver and Release of Liability (AWRL) form will be used by RICKY TAYLOR BASKETBALL AND AFFILIATES, and the sponsors of the event in which I may participate and it will govern my actions and responsibilities at aid event.
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Yes
My Products
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Chattanooga D-League Registration
$
75.00
Total
$
0.00
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