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MBP Basketball

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Participation Waiver:

Please fill out the following form
in order to participate in our Program.

Guardian First Name:

Guardian Last Name:

Player First Name:

Player Last Name:

Player #2 First Name (optional):

Player #2 Last Name (optional):

Email

I agree to not hold MBP, or any of its Staff and/or Associates liable for any injury/illness/damages to me, my family, and my player(s) at any time under any circumstances. *

Yes

My player suffers from a medical condition, illness, or injury that could prevent my player from successfully participating with MBP. Any potential isues I will list below: *

No

Yes

If you answered yes to the last question, please elaborate

Initials

I declare that the info I’ve provided is accurate & complete, and I agree to all terms in this Waiver.View Expanded Waiver Policy:

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**NEW PLAYERS ONLY**

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