TeamUP/CoachesCare Registration Form

TeamUP Registration Form

TeamUp Youth Basketball
TeamUp with CoachesCare Registration form

(Complete One Form Per Child)

Refer to the website "How CoachesCare Differ" to see different

Registration Fee Grade Specific

Multiple Sibling Discounts Available

NO Refunds
Athletes Name/ DOB & Age/ Current School/ Current Grade/ Sneaker Size*
Parents Name/ Address/ City/ State/ Zip/ Email/ Cell*
Option 1 Rental Uniform/ Youth Size/ Small/ Medium/ Large/ Extra Large. PLEASE TYPE N/A if you are choosing another option*
Choose 1 of 3 Options
Option 2 Rental Uniform/ Adult Size/ Small/ Medium/ Large/ Extra Large. PLEASE TYPE N/A if you are choosing another option*
Choose 1 of 3 Options
Option 3 Purchase your Own Personalized Uniform Cost $100.00. Please choose from Youth or Adult Size. For Returning Players Nicknames can be used. PLEASE TYPE N/A if you are choosing another option*
Choose 1 of 3 Options
Emergency Contact # 1/ Name/ Address/ City/ State/ Zip/ Email/ Cell*
Emergency Contact # 2/ Name/ Address/ City/ State/ Zip/ Email/ Cell *
Does the Athlete have any Allergies?*
Does the Athlete have any Medical Conditions?*
Waiver of Liability Release and Statement of Agreement. Please reply with the following, I (parent/guardian Full Name) am aware of the nature of this activity and I hereby Assume Responsibility for (Athletes Full Name)*
Please Confirm Parent/Guardians Full Name and Date this form was completed*
Comments, Questions or Concerns
Signature*

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TeamUP Registration Form