YOUTH LEAGUE REGISTRATION FORM

Individuals or Teams can enter in the league and play competitive games ran through the HPYL at Hardwood Palace on Friday nights!

League: *
Fall 1 - September 8 through October 3 Fall 2 - October 13 through November 14
Division (incoming Fall 2014) *
PreK/K 1/2nd Grade 3/4th Grade 5/6th Grade 7/8th Grade High School
Individual or Team Registration *
Team Individual
Division Experience/Skill Level of Player/Team *
Beginner Recreation Competitive AAU Team Travel AAU Team
Individual or Team Name: *
Parent/Guardian/Contact: *
Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone: * - ### - ### ####
Emergency Phone: * - ### - ### ####
Email: *
Disclaimer: *
By submitting this form, I hereby authorize the staff of Hardwood Palace to act for me according to their best judgement in any emergency requiring medical attention, and I hereby waive and release Hardwood Palace from any and all liability for any injuries incurred while on the facility property. I have no knowledge of any physical impairment that would be affected by my participation in the Hardwood Palace program. I also understand that Hardwood Palace retains the right to use for publicity and/or advertising purposes any photographs of any participants taken at Hardwood Palace events.
I understand/agree: *
Payment MUST be complete prior to Registration acceptance.