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Player Information

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 *
Bronxchester Challenger League *
2nd Child Bronxchester Challenger League
2nd Child Bronxchester Challenger League
1st Child Gender *
2nd Child Gender
3rd Child Gender
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Played in league last year? *
My child is: *
Played in league last year? *

Family Information

I Can Help As *
I Can Help As *

Medical Information

Communication: *

Emergency/Medical Authorization

Release Form

In consideration of D3 Sports & Recreation Inc. providing the opportunity for my child to participate in the Bronxchester Challenger League, the undersigned does hereby release and agree to indemnify and hold harmless D3 Sports & Recreation Inc. and its officers and directors froma ny and all claims for personal injury, death, property damage, or any type of claim or damage (including but not limited to attorney's fees or litigation expenses) resulting from my child's activities in connection with participation in Bronxchester Challenger League or the participation of any family member or guest of the undersigned. I assume all risks and hazards incidental to such participation in Bronxchester Challenger League games and activities and consent for my child to receive first aid and/or emergency care by a qualified Emergency Medical Technician or physician or other person qualifies to render medical assistance in the event my child suffers an injury during sanctioned games and activities. I/we agree to be present at all games and activities so that I/we can manage our child's specific needs. I agree to have any and all medication (prescription and non-prescription) for my child and shall be solely responsible for dispensing any such medication to my prescription) for my child and shall be solely responsible for dispensing any such medication to my child. *
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Parental Consent, Photo and Video Release Form

I give permission to D3 Sports & Recreation Inc. to post photos and/or video of my child/children to the D3 Sports & Recreation Inc. website and the page (s) of social communication. I further state that I have the right to give this permission as I am the parent/legal guardian of the child/children. *
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