Perry Youth Basketball - registration

Player information

Waivers and consents

The parents have reviewed the league consent and waiver and agree to it.

The parents have reviewed the state concussion awareness form.

Both the players listed and I have reviewed the state cardiac awareness form and video.

Family information

Parent #1 Parent #2
Name
Phone
Email
Coaching I am willing to coach. I am willing to coach.
(PYB conducts background checks on all coaches. State law requires that all coaches take online training.)