MOHAWK VALLEY ELITE 2023 TEAM REGISTRATION

Player Name *

Date of Birth *

Height *

Weight *

Grade *

Gender *

School *

Address *

City *

Zip Code *

Home Phone *

Cell Phone *

Email Address *

Parent/Guardian Name *

Parent Email Address *

Parent Phone *

Do You Need A New Uniform for the 2023 Season? *

Yes

No

Jersey # Last Season *

Jersey Size *

Short Size *

PLEASE READ AND SIGN BELOW

By entering my name in the signature box below, I understand that there is limited insurance provided in the cost of this program. I will provide for health and any other coverage on my own behalf or on behalf of my child. I understand that there are inherent risks associated with athletics, including basketball that may involve the potential for injury. I take full responsibility for any such occurrence and will not hold Mohawk Valley Elite, Accelerate Sports or any other individual or entity involved with the operation of this program liable for any such occurrence.

Parent/Guardian Signature *

clear

Date *

Travel Team Registration Fee *

Full Season Payment including New Uniform by 2/19/23 ($499.00)

Full Season Payment including New Uniform after 2/19/23 ($545.00)

Travel Team Registration Fee *

Full Season Payment by 2/19/23 ($450.00)

Full Season Payment after 2/19/23 ($495.00)