Youth Open Run

Please fill out the form below to participate in the Youth Open Run

Click Below If you have already registered

Already registered

2021 IHA YOUTH BASKETBALL REGISTRATION, WAIVER, FORM

* Indicates required field

Name *

First

Last

The undersigned hereby agrees to indemnify and hold harmless IN HOUSE ATHLETICS coaching staff, organizers, fellow players and anyone affiliated to IHA. from any loss, damage or injuries incurred by the undersigned of any facilities, programs or activities owned, maintained or supervised by agents or employees of IHA.

EACH PLAYER MUST COMPLETE HIS OR HER PORTION OF THE REGISTRATION/WAIVER FORM

In Signing below, I verify to play in the mentioned activity that in consideration of your accepting the entry. I intend to be legally bound hereby for myself, my heirs, executors and administrators, waive and release any and all rights i may have against In House Athletics, organizers, fellow players and their representatives for any and all injuries suffered by me at the activity

EACH PLAYER MUST HAVE A COPY OF THIS FORM ON FILE IN ORDER TO PARTICIPATE IN IHA ACTIVITIES

Initial *

PLayer Name *

First

Last

Player Date Of Birth *

School Attending *

Grade Level *

Player Phone Number *

Player Email *

PARENT/GUARDIAN Name *

First

Last

PARENT/GUARDIAN Phone Number *

PARENT/GUARDIAN Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact

Name *

First

Last

Phone Number *

Relationship *

Comments/Questions *

Submit

618-691-7680 | [email protected]

Please fill out the form below to participate in the Youth Open Run

Click Below If you have already registered

2021 IHA YOUTH BASKETBALL REGISTRATION, WAIVER, FORM

Emergency Contact

Hours

Telephone

Email

Follow

Please fill out the form below to participate in the Youth Open Run

Click Below If you have already registered

2021 IHA YOUTH BASKETBALL REGISTRATION, WAIVER, FORM

​Emergency Contact

Hours

Telephone

Email

Follow

Emergency Contact