2020 Challenger League Sign-Up

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Primary Contact Information

Best form of Contact is: *
I Can Help As *

Secondary Contact Information

Please include Secondary Contact in all Communication *
Best form of Contact is: *
I Can Help As *

Player One Information

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1st Child Gender *
My child is: *
Played in league last year? *

Early Registration (Rates will increase to $200.00 as of October 8th, 2019)

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Bronxchester Challenger League *
FOR MAJORS (10-21) ONLY: There will only be 30 players for each Majors (10-21) session. Please choose a session time you prefer. PLEASE NOTE Your choice is not guaranteed. *

Player Two Information

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2nd Child Gender
My child is:
Played in league last year?

Early Registration (Rates will increase to $175.00 as of October 8th, 2019)

2nd Child Bronxchester Challenger League
FOR MAJORS (10-21) ONLY: There will only be 30 players for each Majors (10-21) session. Please choose a session time you prefer. PLEASE NOTE Your choice is not guaranteed. *

Player Three Information

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3rd Child Gender
My child is:
Played in league last year?

Early Registration (Rates will increase to $125.00 as of October 8th, 2019)

3rd Child Bronxchester Challenger League
FOR MAJORS (10-21) ONLY: There will only be 30 players for each Majors (10-21) session. Please choose a session time you prefer. PLEASE NOTE Your choice is not guaranteed. *

Medical Information

Communication: *


Communication:


Communication:


Emergency/Medical Authorization


Release Form

In consideration of D3 Sports & Recreation Inc. providing the opportunity for my child(ren) 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 from any 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(ren). *
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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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