Commemorative R.O.S.E., Inc.

A Non-Profit Organization

 


 

 

Summer Basketball Program
On-Line Consent Form

Please read the following consent form. You must agree to the terms of this consent form before you can complete the on-line registration for the Summer Basketball Program. This form MUST be completed by the Parent/Legal Guardian of the program participant (player).

Do you accept the TERMS as set forth in the above CONSENT Form?:

Yes
No

(Note: By typing name below, you agree to authorize your electronic signature.)

Please enter name (must be parent/legal guardian):

Name

Enter the current date:

-- mm/dd/yy

 

 

Send mail to webmaster@commemorativerose.org with questions or comments about this web site.
Copyright 2001 Commemorative R.O.S.E., Inc.
Last modified: May 10, 2006