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Spring 2019-6th Grade Tryout Registration Form


Feb 16th from 1:30pm to 3:30pm

The PAC

44600 GUILFORD DRIVE SUITE 100 - ASHBURN, VA 20147

I being the parent of the player named below, hereby agree that I will hold the Loudoun FLEXX Basketball (“Flexx”) and its officers, directors, and coaches faultless in the event of injury or other harm occurring to the my child at any associated Flexx event, tryout, practice, games, or tournaments or at any such event that Flexx participates in. By signing this “Waiver of Liability” I attest to the organizer, Loudoun Flexx Basketball, that adequate medical insurance is available for my child and that I am solely responsible for any medical expenses if necessary.

By clicking Yes below, I agree to the language above.*

Player Full Name*

Player DOB*

Player Current Grade*

County of Residence*

Parent1 Email Address*

Parent1 Phone Number*

Parent2 Email Address*

Parent2 Phone Number*

Player Information/Experience

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