Player Name _________________________________________________ Boy ____Girl_____ Address__________________________________City________________State_____Zip_____ Telephone #_____________________  Former BCWB Team ___________________________ Are you attending College in the Fall_____ If yes, what college____________________________ If no, what College or Colleges interest you ____________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Medical Problems?_______________________________________________________________ Emergency Contact Number  ____________________________________________ Email Address:_______________________________________________________ Emergency Contact Name_______________________________________________ Phone _______________________ Email___________________________________________

Note: If you are a senior committed to play basketball at the NCAA level, you may want to double check with your school to determine the existence of any NCAA rule which would prevent you from participating in basketball games prior to the college regular season. 
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Registration Instructions:
1) Fill out form completely and legibly.
2) Parent/Guardian must sign Medical Release,  Code of Conduct and Parent/Guardian player permission.
3) Free to all former BCWB Players.
This reunion game is played outdoors at the College Estates Park located on Taney Ave. Frederick.

Medical Release, Agreement to Abide by the Code of Conduct and Parent/Guardian player permission :
I certify that I/my child is in good physical condition and is fit to participate in Basketball Coaches Without
Boundaries Youth Summer League Reunion Game;  I have read and understand the BCWB YSL Code of
Conduct for players and spectators:   I agree, abide by, and promote the regulations and principles outlined
in the Code.  Additionally,    

I understand that my participation in Basketball Coaches Without Boundaries activities involves risks and dangers of serious and permanent bodily injury.  I, or my parent/guardian, if I am a minor, hereby release, hold harmless, discharge and agree not to sue Basketball Coaches Without Boundaries, its Directors, Officers, Employees, Coaches, Officials, Volunteers, Agents, Sponsors, Advertisers, Owners/Lessors of Premises for any and all liability from my participation in these and any other Basketball Coaches Without Boundaries related travel, lodging, social/recreational activities.

Date: ____________            Parent/Guardian Signature  ___________________________________