Clone of 252SummerFinale Registration Form

Team Name

Class

Team Gender

Coach's Name

First NameLast Name

Coach's E-mail

example@example.com

Coach's Cell Number

Format: (000) 000-0000.

Waiver:

RELEASE:

I, undersigned, agree with the following statements:

Medical Release: Between starting and ending of the event, as deemed necessary, I authorize activity holder to select the hospital or dentist for hospitalization, to secure proper treatment, and/or order an injection, anesthesia, or surgery, for the team specified above.

Liability Release: Even with the best of planning and precaution, unforeseen events can occur. By signing this form, I agree to assume and accept all risks and hazards inherent in the activities. I also agree not to hold activity holder (FOE Sports, 252 Mixtapes, HoopFarm Mixtapez, Rocky Mount Event Center) or its employees or volunteer assistants liable for damages, losses, or injuries to the person or property undersigned.

Photography/Video Release: Participants involved in any activities offered by FOE Sports, 252 Mixtapes, HoopFarm Mixtapez & Rocky Mount Event Center may be videotaped or photographed during the event. The undersigned hereby consents to the use of these photographs and/or published by FOE Sports, 252 Mixtapes, HoopFarm Mixtapez & Rocky Mount Event Center.

Signature for Waiver

Confirmation

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

E-Signature for Payment

My Products

Boys Teams Registration Fee

$350.00 Quantity

Girls Teams-1 Day Registration Fee

$125.00 Quantity

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

252SummerFinale-2026

My Products*

My Products