2012 Fullcourt Press Senior Showcase  ON-LINE REGISTRATION - PLAYER INFORMATION

STEP 1. PLAYER INFO:

* Required fields
Name *
E-mail Address *
Participant's Name: *
Event Player is Registering for: *	2012 Fullcourt Press Senior Showcase
Phone Number *
Mobile Phone Number
Home Address *
City *
State *
Zip Code *
Grade 2011-12 *
School *
Height *
Weight *
Health Insurance Company *
Policy Number *
Group Number *
Parent/Guardian *
*** I have read and agree to the Event Rules & Regulations as outlined at the bottom of this page. * *	YES NO

I have read and agree to the Privacy Policy *

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*** EVENT RULES & REGULATIONS

I understand that any Fullcourt Press Senior Showcase (FPSS) participant who does not abide by the rules, regulations and policies established by the (FPSS) is subject to dismissal without reimbursement or recourse and I hereby waive and release the (FPSS) and Dominguez High School (DHS) from any and all liability for any injury or illness while participating in the camp.  I hereby authorize the directors of (FPSS) and DHS to act according to their best judgement in any emergency if I cannot be contacted.  I understand that each camp participant is required to have their own medical and accident insurance.  I also understand that (FPSS) retains the rights to use for publicity and advertisement purposes, photographs of event participants.
 

Any questions - call Dinos Trigonis at (562) 343-1473

If after your Application Form is submitted you are directed back to this page, You DO NOT have to fill out the above form again! Just  "Click" on the Step 2. Link below to go the the PAYMENT process.