2016 MC WARRIORS AAU BASKETBALL BOYS & GIRLS TRY-OUTS
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ELECT.R CALL 44 94
FOR MORE Registration is $10.00
Please visit website for EVENT DATE & LOCATION!!!! www.mcwarriors09.org Email:
[email protected] ***2015 4TH Grade BATTLE OF SOUTH CHAMPS*** TH ***2015 4Grade DMG SPRING FLING CHAMPS*** ***2015 5TH Grade NATIONALLY RANKED #17*** TH ***2015 11Grade SUPER 100 SHOWCASE CHAMPS*** ***2015 11TH Grade KING JAMES EXPOSURE RUNNERUP***
Registration Form Please Print
Indicate which age group you will be trying (9U) (10U) (10UG) (11U) (11UG) (12U) (13U) (14U) (14UG) (15U) (16U) (17U)
NAME__________
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ADDRESS_______________________________________ CITY___________________________ STATE________ ZIP________________ PHONE (___) ____________________ EMAIL ADDRESS_________________________________ BIRTH DATE _______________
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SCHOOL_____________________________ Current Grade____ CITY___________________________ STATE________ ZIP______ HEALTH INSURANCE CARRIER ________________________________________ POLICY NUMBER ________________
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GROUP NUMBER ______________________ HEALTH AND BEHAVIOR GUIDELINES: I, the undersigned, submit my son is physically fit to participate in strenuous athletic activity and waive Madison County Warriors Basketball of any and all responsibility for injury or illness. I hereby authorize the directors of Madison County Warriors Basketball to act for me according to their best judgment in any emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and must provide Madison County Warriors Basketball with proof of medical and accident insurance. I also understand that my payments are non refundable and non transferable under any circumstances. I understand that any player who does not abide by facility rules or regulations is subject to dismissal without refund or recourse: SIGNATURE OF PARENT/GUARDIAN __________________________________________ DATE _______________
Please make checks/money orders payable to:MC Warriors MC Warriors P.O. Box 672 Normal, Al 35762
MC Warriors North Alabama’s Number One Off Season Basketball Program