MSY KC PREMIERE Shooting for the Future SHOWCASE Registration by realtuff29

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									           MSY / KC PREMIERE: Shooting for the Future SHOWCASE Registration Form
       SEND THIS FORM ALONG WITH YOUR CHECK TO: Metro Sports-Time Warner Cable / Attn: Natalie Moultrie / 6550 Winchester / Kansas City, MO 64133
                           This form must be completely filled out and accompanied by payment in order for your team to be registered!
         $200 -- No DVD footage provided for your team                                      Roster Submission Only; I've already paid online.
          $275 -- Includes 2 DVDs per team (given to Coach) of 1 tournament game ($150 value) | Registration DEADLINE: Friday, April 10, 2009

Coach's Name:____________________ Manager's Name: ____________________ TEAM Name:_____________________________ Level:___________

         Street Address:     ______________________________
                   City:     _____________________          Home Phone: ________________                               E-mail: ________________________________________
                  State:     __________                       Cell Phone: ________________
                    ZIP:     __________                     Office Phone: ________________                                                   Fax: _________________________


 #            Name            Yr   Ht    Wt   ppg rpg apg              Address                    City           ST      Zip      School Attended   GPA ACT SAT          Telephone




     By signing / typing my name in the location provided below, I hereby understand and accept the implications of submitting this form:

                                                                             Signature:
                                                                                                         Sign or Type Name in Above Cell


We, the above signed, understand that basketball carries an inherent risk of serious injury and do not hold the organizers, staff, any tournament sites, persons or parties involved with
this event responsible for any injuries/death occurred while participating in a Metro Sports Youth / KC Premiere Tournament. We further understand that it is our sole responsibility to
provide medical insurance for our son/daughter in the event any such injury should occur.
         Shooting for the Future Basketball Showcase
                                       Team Waiver Form
 This “completed” form can be turned in during your initial check in at the beginning of the tourney.
                   Or, you can send along with your registration form and check.


Team: ____________                   Division: ____________

Coach: ___________________ Cell Phone: (_____)_____________


You do NOT need Parent signatures… IF your team(s) has “team insurance.”
                                                          * If your team has insurance circle ►      YES

If you do NOT have insurance, Parent signatures ARE NEEDED! (sign below)

We, the following signed, understand that basketball carries an inherent risk of serious injury and do not hold
the organizers, staff, any tournament sites, persons or parties involved with this event responsible for any
injuries/death occurred while participating in Metro Sports Tournaments or any other tournament or event
sponsored by Metro Sports & Natalie Moultrie. We further understand that it is our sole responsibility to provide
medical insurance for our son/daughter *(or self, if independent adult over 18) in the event any such injury
should occur.

Jersey
                     Name                Grade             School                     Parent Signature*
  #

								
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