Registration – Express Basketball

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Athlete – First and Last Name *

Date of Birth *

Sex *

Male

Female

Other

Health Card Number *

Previous Club Team *

Parent(s) or Guardian(s) – First and Last Name(s) *

Address *

Phone *

Email *

Liability Clause: PARENTS/GAURDIANS *

Decline

I hereby release Express Basketball Association, its executive, coaches, agents and volunteers from any and all responsibility whatsoever for death or injury to my child whether caused by negligence or otherwise while playing basketball (indoor or outdoor) or being transported to or from a basketball game or practice.

COVID19 Clause: PARENTS/GAURDIANS *

Decline

I hereby state that I understand Express Basketball Club will abide by all Nova Scotia Public Health guidelines as it pertains to COVID 19 as well as governance by Basketball Nova Scotia. This includes, but not limited to, restricted gathering limits, mask policy, participation waivers and daily attestation forms.

Photograph/Video Consent: PARENTS/GAURDIANS *

Decline

I understand that photographs/video taken of my child by a member of Express Basketball Association may be used by Express Basketball in the promotion and celebration of our youth basketball club, its athletes and/or coaches.

JumpStart Submission #

2020-2021 REGISTRATION

Registration for the 2020-2021 season is open! Please register with our Online Option below. There will be no guarantees for your child to play if you signup after registration closes as space is limited.

Registration will not be accepted until payment is received.

Register Online