"Serving North Carolina and Southern Virginia Since 2005!"
[ Rockingham X - Plosion
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"Serving North Carolina and Southern Virginia Since 2005!"
[ Rockingham X - Plosion
]
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Thanks for your support!
To the world you make the difference of only one person.
To one person, however, you can make all the difference in the world.
Thank you for investing in the lives of others through your secure online contribution.
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The Prosperity Center Youth Services Division MISSION: "Youth In Action!" AAU Basketball Program
Rockingham X-PLOSION
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The Prosperity Center AAU Basketball Medical Release Waiver Form All parent(s) and /or guardian(s) must complete and sign our Medical Release Waiver Form agreeing to the following: The Prosperity Center's Rockingham X-PLOSION basketball teams, coaches, parent volunteers, staff, supervisors, team adult volunteers, or any individuals or property affiliated with this program will not be held liable for injuries of any type that may occur as a result of participating in this program. Each participant is responsible for his or her own medical coverage in the event of an accident.
Please click on the Microsoft Word Logo link below to obtain a Printable Microsoft Word Version of our Official Medical Release Waiver Form. No player will be permitted to participate in any activities (practices, scrimmages, games, special events) without turning in a completed and signed Official Medical Release Waiver Form to our administrative staff. Forms received without a valid signature and date will not be accepted. Medical Release Waiver Form (Microsoft Word Version) Complete this form online and print It!
Official Medical Release Waiver Form (Microsoft Word Version) Print this blank form and complete it by typing or printing in the requested information!
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Always Under Construction!
The Prosperity Christian Resource and Community Housing Development Center, Inc.
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