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Parent Information
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Disclaimer
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Last Page
Parent #1 Information (Required)
First Name *
Last Name *
Home Phone Number
Cell Number *
Email *
Address *
Apt/Unit #
City *
Postal Code *
Parent #2 Information
First Name
Last Name
Home Phone Number
Cell Number
Email
Address
Apt/Unit #
City
Postal Code
Indicate the number of players being registered. *

Motion Ball Sports Association (MBSA) will not be held responsible for any injuries sustained by a player while playing at any facility or programs operated by the MBSA. I/We acknowledge that all intellectual property, rights and ownership of any media taken and any reproduction thereof, arising from any sports of interests, and/or activities will belong to the MBSA. I/We hereby release, discharge and agree to save harmless any MBSA parties from all liability arising in connection with the sport(s) of interest, and/or activity.
There is a cancellation fee of $75.00. No refund will be issued after the 2nd week of the program. A fee of $45.00 will be charged for all NSF Cheques.
This form must be signed by a parent/guardian if the player is under eighteen years of age.
I/We agree to abide by all rules and regulations of the Motion Ball Sports Association.