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... But sometimes, they make memories for us too!
"We Make Memories For Kids!" 
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EARLY WINTER REGISTRATION
* Sign-Up Today!!
$300
then fill out Information 
and submit
Click on price
to pay
I _________________________________,  hereby give my son / daughter _____________________ permission to play basketball.  While my child is registered in Impact, I will adhere to the rules and regulations of the league and its organizers.  I also give league officials  the right to dismiss my child from the league  if his/her (or my) behavior or attitudes are deemed detrimental to the best interest of the league.  I understand that my deposit/registration fee(s) is  NOT refundable under any circumstances.  

In case of illness or accident, the individual shall have immediate care.  I release and discharge the  Mpact Youth Inc. its staff, coaches and organizers of any liability for injury to my child resulting from or in any manner connected with my child’s participation in the program.  The League is also not responsible for articles of clothing, basketballs, Jewelry, sneakers or other personal belongings lost, misplaced, damaged or stolen.

In signing this -PRCOCCRRRF - document, I’m certifying that my child is in good health, with  no chronic illness or abnormal tendencies.

I hereby wave my rights to bring any action, legal or otherwise against the Impact Youth Program, its staff or its organizers.  I also understand that there are absolutely NO refunds under any condition.  In addition, I authorize the staff of the Impact Youth Tournament to act for me according to their best judgement in any emergency requiring medical attention for my child.  I have no knowledge of any physical impairment that would affect the above person's participation in playing basketball.  I further understand that Impact Youth Tournament retains the right to use for publicity and advertising purposes, photographs and video taken at the game of my child (or me) with no compensation due.  I hereby give my child permission to play.
Parent / Guardian Signature______________________________  Price Paid:__________________Date:_____________
(Bottom of page)
(Electronically sign)
Child's First Name                                           Last Name:

Parents/Guardian

DOB

Phone

Health Plan

Medical I.D.

Winter or Summ/Yr.
2nd Child Info:
Parent's Registration.....Code Of Conduct, Consent, Release, Renewal/Receipt Form - (PRCOCCRRRF)
 
= $200 
= $225 - New Registrants 

= $295
.      .
Sign-Up At The
Park & Get 
Pay Only
2023-2024
League runs fron November 2023 to April 2024 at P.S. 80

Price Includes
Full Uniform
Shirts/Shorts
Insurance
Referee Fees
Trophies
(1st & 2nd)
Admin. Fee