23rd Annual Kings Youth Basketball
Pre-Season Invitational
Girls: November 11-13, 2016
Boys: November 18-20, 2016
Roster Form
Team Name___________________ Coach ____ ____ ____ Phone# (
)______- _______
This roster must be completed by the head coach and given to a KBA Representative prior to any game being played. If
this roster and parental release form is not completed and returned, no participation will be allowed and no return of
entry fee will be given.
AS A PARENT OR LEGAL GUARDIAN, I HEREBY RELEASE KINGS BASKETBALL ASSOCIATION, THEIR MEMBERS, OFFICERS,
COACHES, DIRECTORS OR DESIGNATES FROM LIABILITY FOR ANY INJURY OR LOSS WHICH MY CHILD MAY SUSTAIN
WHILE PARTICIPATING IN ACTIVITIES OF ANY KIND, WHETHER SPONSORED BY OR UNDER THE SUPERVISION OF KINGS
BASKETBALL ASSOCIATION. I FURTHER AGREE TO INDEMNIFY AND HOLD HARMLESS KINGS BASKETBALL ASSOCIATION
AND ITS MEMBERS, OFFICERS, COACHES, DIRECTORS OR DESIGNATES FROM ANY CLAIM.
Player Name
Parent Signature
Date
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