CHERRIES JUBILEE 3-ON-3 BASKETBALL REGISTRATION

$80/team
$20 replacement player fee   

June 15, 2019

Main St, Brewster

Medals will be awarded for 1st place in each Division.

Please make checks or money orders payable to the Brewster Chamber of Commerce.

Mail registration fee With Team and captain name to:

Brewster Chamber of Commerce
P O Box 1087
Brewster WA 98812

Questions or Concerns: brewsterwachamber@gmail.com
(509) 593-0771

(please complete the form below)

Captain Name *
Captain Name
Captain's Address
Captain's Address
Captain's Cell Phone *
Captain's Cell Phone
For Each Player We Need: 1. Name 2. Phone Number 3. Grade During 2018-2019 school year 4. Date of Birth (under 18) 5. Male/Female 6. T-Shirt Size: YM, YL, SM, M, LG, XL, XXL
Team DIvision *
In unexpected instances where there are fewer than four teams in a division, teams will be “flighted” into the next age division and skill level.
Sportsmanship Pledge *
Sportsmanship Pledge
By filling your name in this form, all players accept responsibility for their conduct at the Cherries Jubilee 3-on-3 Basketball Tournament. The event reserves the right to disqualify and eject any individuals and/or teams that behave in an unsportsmanlike manner.
Player Signatures Below
ALL PLAYERS AND A PARENT/GUARDIAN FOR EACH PLAYER UNDER 18 MUST SIGN THIS WAIVER AND CONSENT. In consideration of your acceptance of this entry, I, the undersigned, intending to be legally bound for myself, my heirs, executors and administrators waive and release any and all rights and claims for any damages that I may have, or that may hereinafter occur to me, against the sponsors, the City of Brewster, Brewster Chamber of Commerce, and its officials, agents and employees for any injuries during or because of the Cherries Jubilee 3-on-3 Basketball Tournament event. Furthermore, said sponsors, the City of Brewster, Brewster Chamber of Commerce, and their representatives or assigns will not be held responsible for any accidents, injury, loss or damage to my person or property should any occur. I hereby grant full permission to any and all of the foregoing to use any photograph or any other record of this event. YOU MAY BE ASKED TO HAVE EACH PLAYER FILL OUT THE SIGNATURE PORTION OF THIS FORM THE DAY OF THE EVENT TO ASSURE ALL PLAYERS/GUARDIANS HAVE AGREED TO THIS WAIVER.
Player 1 *
Player 1
Player 1 Guardian
Player 1 Guardian
Player 2 *
Player 2
Player 2 Guardian
Player 2 Guardian
Player 3 *
Player 3
Player 3 Guardian
Player 3 Guardian
Player 4 *
Player 4
Player 4 Guardian
Player 4 Guardian