3 on 3 Basketball Tournament Registration

First Name	Middle Name	Last Name

Street Address	Apartment/Unit#

City	State	Zip Code

Home Phone	Alternate Phone	Gender

E-mail Address	Date of Birth

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Division	School Name

Height (inches)	Weight (pounds)	Position	Experience (years)

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Parent's Full Name

Primary Phone	Alternate Phone

Parent's Email

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By submitting this form, I hereby waive and release the host facility, Top of the Key and all employees of the camp from damages and injuries to my person and/or property, which may be suffered by me, arising from my travels to or from the lesson/camp, or participation in a Top of the Key event. I hereby agree that the photographs, video recording, newspaper, television, or radio interviews of myself or my child may be used in the promotion of Top of the Key for their purposes without any compensation to me whatsoever.

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