Player Registration — D-Block Basketball Academy Kaduna

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Player Information

First Name *

Last Name *

Date of Birth *

Gender *

Basketball Experience *

Preferred Playing Position (optional)

School (optional)

NIN (optional)

Passport Photograph

The photo you upload will be used on your player's registration card. For optimal clarity, choose a well-lit picture with a clean white or light-colored background. (JPG or PNG, max 5 MB)

Parent / Guardian Information

Full Name *

Phone Number *

Email Address *

Home Address *

Emergency Contact

Contact Name *

Contact Phone *

Health Information

Medical Conditions / Allergies (optional)

Consent and Acknowledgement Participation consent * — I confirm that I am the parent or legal guardian of the player named above, and I consent to their participation in D-Block Basketball Academy programmes. Media consent (optional) — I consent to the use of photographs and video footage of my child for D-Block Basketball Academy's promotional and publicity purposes. Liability and injury acknowledgement * — I understand that basketball is a physical, contact sport that carries an inherent risk of injury. I confirm that my child is medically fit to take part, and I accept that D-Block Basketball Academy, its coaches, and its volunteers are not liable for injuries sustained during training, matches, or related activities, except where caused by proven negligence.

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