Basketball Team Travel Summer 2022

Registration Form

Basketball Competition Teams

Royal Kings & Queens

52 West Fauna Ct. Mountain House CA 95391

info@royalkings.org

www.royalkings.org

209-319-7290
Athlete Information
Player Name *

First Name Last Name
Athlete Phone Number *

Area Code Phone Number
DOB *

Month Day Year
Date
Age *
Grade *
Team
Uniform Jerseys Size
Guardian / Parents Names *

First Name Last Name
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Home Phone *

Area Code Phone Number
Cell Phone

Area Code Phone Number
E-mail *
Emergency Contact & Health Insurance Information
Emergency Contact's Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
Do the athlete have health insurance ?

Yes No
Insurance Carrier
Name of Policy Holder
Insurance Card No.
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy? *

Yes No
Please describe *
Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Authorization/Waiver of Liability : I, as participant (or parent or guardian) of the above named participant in the above mentioned program, hereby give approval for my son participation in this basketball training. I assume all risks and hazards incidental to such participation, and hereby waive all claims against this club Royal Kings, and any other personnel involved in any injury or accident while participating in this program. I do hereby waive, release, absolve, indemnify and agree to hold harmless the organization, the organizers, sponsors, supervisors, coaches, participants and the club Royal Kings for any claim arising out of an injury to the above named participant. I also grant permission to managing personnel or other representatives to authorize and obtain medical care should the above participant becomes ill or injured when neither parent or guardian is available to grant authorization for emergency treatment. I also certify that all information on this form is true. I understand that misrepresentation could result in suspension from the program. I have read and understand all information outlined on this form and the Parent Information Sheet. I agree to adhere to all rules of the league and all terms of all information regarding this league. Covid-19 saftey protocol is strictly followed per AAU rules & regulation. No pay No Play policy.
I have read and agree to the above conditions *

Yes No
Confirmation E-mail *
Signature *

Clear
Summer Season 2022 (June-August)

Player Fees: $400 plus $75 uniform fee
Terms of payment option:

- Full payment (New Player) - $475

- Full Payment (Returning players) - $400

**No Pay No Play Restriction: Player cannot play if payment is not made by deadlines**

Payment will be due before first tournament of the season

Tentative Tournament Schedule:

July 9th

July 23rd

August 6th

August 20th

August 27th

*Some tournaments will be two day tournaments*
My Products
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Full Payment $ 400.00
Full Payment Option

Uniform Royal Kings $ 75.00
Team color reversible jerseys & shorts one pair

Total $ 0.00
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After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at info@royalkings.org
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