Registration

PARENT RELEASE: We (or I), hereby request that you accept the application for enrollment of this applicant in the Emporia Basketball Academy, and hereby release EBA and USD #253 and their employees/volunteers from all claims on account of any injuries which may be sustained by our, (or my), son or daughter while participating in the basektball academy, and its employees/volunteers for any claim which may be hereafter presented by our, (or my), son or daughter as a result of any such injuries.

MEDICAL CERTIFICATION: I hearby certify that this applicant is physically fit to participate in the Emporia Basketball Academy.

Who should we contact in case of emergency?