Basketball Team Registration

Basketball Team Registration
Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Child's Grade Level*
Child's Gender*

FemaleMale
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Name*

First NameLast Name
Mother's Phone Number*
Please enter a valid phone number.
Mother's Email*
example@example.com
Father's Name*

First NameLast Name
Father's Phone Number*
Please enter a valid phone number.
Father's Email *
example@example.com
Does your child have any allergies?
Does your child have any medical conditions?
Does your child have any special needs?

Practices Day Preference

Practices will be on the same day each week.
What are your preferred days for the practice?*

MondayTuesdayWednesdayThursday
If this day is chosen, my child will not be able to attend the practices.*

MondayTuesdayWednesdayThursdayI can make all the days work

BEAM Jersey Request (New players only)

Please skip this section if you are a returning BEAM student who owns a Jersey.
Jersey Size
Student's Last Name (Make sure the spelling is correct. Will be printed on the back of their jersey)
Preferred Numbers for the Jersey (please write your top three choices for the number in order).

Media Release Form for Minor Children
BEAM (Building & Enriching American Muslims) has my permission to use my or my child’s photograph publicly to promote BEAM. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensations shall become payable to me by reason of such use.*

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Assumption of COVID 19 Risk
COVID-19 has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. By signing this Addendum, Parents acknowledge the contagious nature of COVID-19 and voluntarily assume the risks associated with sending their child to BEAM Academy’s in-person programs. Parents voluntarily agree to assume all of the foregoing risks on behalf of their children.*

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Waiver and Release of Liability
I agree that this Waiver and Release of Liability shall apply to each day I am at BEAM’s rented program facility regardless of the date that this form is signed below. I agree I will assume the risk and full responsibility for any and all injuries, losses, or damages, that might occur to my child or other family members while on the premises where BEAM programs are being held or participating in any off-site activities; and to the maximum extent of the law, I agree to waive and release any and all claims, suits, or related causes of action against BEAM, their owners, officers, employees or agents for injury, loss, death, costs, or other damages to me, my heirs or assigns, or third party claims suits or related causes of action asserted against BEAM programs or activities arising from my conduct and/or family’s conduct while participating in BEAM’s programs and activities. I further agree to release, indemnify, defend and hold BEAM harmless from any liability whatsoever for future claims presented by my child for injuries, losses, or damages.*

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Payments and Fees
Basketball Team Registration: $285 --- This fee includes the PSA fee. Non-Refundable. Soccer Team Registration: $175--- This fee includes the PSA fee. Non-Refundable. *

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Athletics Consent/Waiver Form
I give permission for my son/ daughter to participate in athletics. It allows your child to practice and play in games. It is also a waiver of injury. Guardians understand that BEAM Academy is not liable for any injuries that may occur while participating in these sports, whether games (home or away) or practice. Also, it is understood that practice may be held away from Stinson School (due to shortage of facilities), and that BEAM Academy is not liable in transportation (Guardians will be notified of where these other facilities are located before practice begins). It is important to know that in sports involving training, such as running, this will be done in the vicinity of, but not necessarily on campus. is means that training may include running near roads (the least busy ones). Practicing and playing in any sport always runs the risk of injury, but if it is done in safe conditions injuries can be kept to a minimum. It is understood that BEAM Academy cannot be held liable for any injuries that possibly occur while safety precautions have been given and are administered. BEAM Academy will strive to provide the safest environment possible. *

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Student/ Player Expectations
In exchange for the privilege of being on the team, the student player promise to do the following: 1. Make sure he/she is on time to games and practices 2. If the player is going to miss a game, they should please communicate with the coach as soon as they are aware.3. Respect teammates, referees, opponents and coaches.4. If the player does not plan on playing the following season, they have until the last game of the current season to inform us, if not we will assume you are playing the next season and we will sign them up.*

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Team

Basketball TeamSoccer Team

Should be Empty:

Basketball Team Registration

Practices Location Preference

Practices Day Preference

BEAM Jersey Request (New players only)

Media Release Form for Minor Children

Assumption of COVID 19 Risk

Waiver and Release of Liability

Payments and Fees

Athletics Consent/Waiver Form

Student/ Player Expectations