Player Information *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Parent / Guardian Infomation *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone *

(###)

###

####

Secondary Phone

(###)

###

####

Volunteer Opportunities

We will need volunteers for various roles throughout the season. Please check any of the following that you are willing to help with.

Coach

Assistant Coach

Game Book

Game Clock

Other

I'm not available to volunteer at this time

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Release of Liability *

I/We as the parent(s) or legal guardian of the child listed on this registration, understand the above named child will be participating in activities for/with Holbrook Basketball Club (HBC). I/We release the HBC from any and all liability of whatever form which may arise as a result of any injury during the 2024/2025 season. I/We are giving the above said child permission to participate in the season and take full responsibility for said child.

Yes