TRYOUT REGISTRATION

Player Name

First NameLast Name
DATE OF BIRTH

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Player’s Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address?
Parent/Guardian

First NameLast Name
parent/guardian phone number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
example@example.com
Player Instagram @
Rep basketball experience?
Current Team?
Do you have any allergies, chronic illness, medical conditions, learning disabilities or challenges (such as ADD, ASD)
Please describe (medical conditions):
Height
Did someone refer you?
Who referred you?
Waiver & Release of Liability

I understand that participation in Sauga City Kings Youth Basketball Inc. activities involves inherent risks, including the risk of injury. I confirm that the participant is physically able to participate, voluntarily assumes all risks associated with participation, and releases Sauga City Kings Youth Basketball Inc., its directors, coaches, employees, volunteers, and affiliates from liability for any injury, loss, or damage arising from participation, except where prohibited by law.
I have read and agree to this Waiver & Release of Liability.
Should be Empty: