Registration

Registration Fee:

Travel Teams: $275 per player

Please make checks payable to MVYB

The Registration form is available for download from our list of forms on the left. Please print and complete the form and mail it, with payment to:

MVYB c/o Peggy Stone
P.O. Box 314
West Tisbury, MA 02575

To register on-line, please fill in the form below.

ONLINE REGISTRATION FORM
Child's Name:
Age:	D.O.B.
Sex:	Height:
Grade:	School:
T-Shirt Size:
Parent's Name:	E-mail:
Mailing Address:
Town of Residence:
Home Phone:	Cell Phone:
Emergency Contact:	Phone:
Medical Insurance
Insurance Name:	Insurance Number:
The MVYB Program may use photographs in which my child appears. In consideration of your accepting my child’s entry, for myself, my child, my heirs, executors and administrators, I hereby waive and release any and all rights and claims for damages I or my child may have against Martha’s Vineyard Youth Basketball Program and it’s representatives, successors and assigns for any and all injuries suffered by myself or my child/children at any activity sponsored by Martha’s Vineyard Youth Basketball Program.
I hereby give my son/daughter permission to attend the Martha’s Vineyard Youth Basketball Program.		please check to indicate permission
In case of any accident to your child, all efforts will be made to contact the immediate family. If we are unable to do so and emergency medical assistance is needed, we would like to have your permission to proceed with aid. Some hospitals refuse treatment without parental consent.
I give my permission to allow any medical personnel, with the approval of the coach or chaperone, to give any and all medical assistance needed to care for my child.		please check to indicate permission
Type your name as your signature:	Date:
Special Requests: We will make every effort to accommodate requests but cannot guarantee them.
To prevent spammers from using this form please enter the validation numbers that you see on the right:
In consideration of your accepting my child's entry, for myself, my child, my heirs, executors and administrators, I hereby waive and release any and all rights and claims for damages I or my child may have against Martha’s Vineyard Youth Basketball Program and it’s representatives, successors and assigns for any and all injuries suffered by myself or my child/children at any activity sponsored by Martha’s Vineyard Youth Basketball Program.