LAKES REGION ELITE BASKETBALL
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LRE REGISTRATION FORM
*
Indicates required field
Child' Name
*
First
Last
Age
*
Grade (22-23) School Year)
*
Gender
*
Male
Female
DOB (mm/dd/yyyy)
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Jersey Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Med
Adult Large
Adult XL
Parent Name
*
First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Participation in this program may involve risk of injury. As a parent, guardian or participant, I am aware of these hazards and my ability to participate. In consideration for participation in the program listed above, I hereby for myself, my heirs, executors and administrators waive and release all rights against Lakes Region Elite Basketball League, the Gilford Youth Center, the Gilford Community Church, its officers, employees, agents, volunteers, and supervisors, except in the case of their sole negligence, from all losses, injury, damages, fees, and other expenses, arising out of or in connection with participation in the program and activities. In addition, I give my permission for the child to be treated by qualified medical personnel in the event that the above named parent/guardian cannot be reached at the phone numbers provided. As a parent, guardian or participant, I allow the Lakes Region Elite, Gilford Youth Center to take my child’s picture/video for advertising and promotional purposes.
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I agree to the terms listed above
Your Name
*
First
Last
Primary Phone Number
*
Email
*
Please list any medical conditions or physical limitations we should know about
*
Submit
Tryout Schedule
Boys Tryout Schedule
Wed, June 1st, 6:30pm
Girls Tryout Schedule
Thursday, June 2nd 6:30pm
Home
Raptors
Lakers
Contact Us
LRE Summer League
Globetrotters 1-2 FALL 2022
Coaching Opportunities
2020 13U Girls Fall Ball Schedule/Results
Winterrecleague
Hall of Champions