In order to participate in the NYCBL
(1) team representatives must submit the following form and (2) all team members must fill out the waiver form.

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TV & Advertising League "5-on-5" Application Form

CONTACT INFORMATION
* required fields
*TEAM NAME:
*TEAM CAPTAIN:
*STREET ADDRESS:
*CITY: *ZIP:
TEL (W): * FAX:  
CELLULAR: *E-MAIL:
*ALT. TEAM CAPTAIN:
*TEL (W): FAX:  
CELLULAR: *E-MAIL:

CONFLICTING DATES
Are there any specific dates during the season when your team is NOT able to play due to conflict - such as a company event, etc. (type date and list reason(s) below).

Date(s):

Reason(s):

ROSTER
Type in the full name AND email address of all the team's members below. If you do not know the e-mail address, type "NONE" in the e-mail address field.:
# FIRST NAME LAST NAME EMAIL
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UNIFORMS
twelve (12) uniform jerseys are included in the registration fee of $2,475. All jerseys will be a full extra large cut and have numbers on the back as well as the League logo. Additional jerseys can be purchased at $25 per jersey with team name. When placing an order, please consider extra jerseys you may need for late roster additions, spouses, children, friends, etc. It is difficult to fill piece-meal orders later.
ADDITIONAL UNIFORMS (in addition to 12 free): #

* WAIVER (Must check box below to participate)
By checking this box the representative is familiar with the League Eligibility Rules and that all the above roster members are qualified to participate under them. (Note: Violation of the Eligibility Rules may result in expulsion from the League without refund). Further, it is understood that the Lawyers Athletic League, Inc., The Lawyers Athletic Association, Inc., The Lawyers Basketball League, The New York Corporate Basketball League and affiliated organizations, their directors and agents disclaim any responsibility or liability for damage to property or injury to any person, whether players, spectators or others, no matter how caused. Such damage or injury is the sole responsibility of, and is assumed by, the teams, players, participants and firms they represent. Furthermore, it is understood that in case of default or non-payment of The New York Corporate Basketball League's registration fee, the representative is soley responsible for the payment of said fee .

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Sponsored by Lawyers Athletic League, Inc.