2024-2025 WNY Wolfpack Girls AAU Sign Ups

WNY Wolfpack Girls AAU 2024-2025 Sign Ups
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Child's Height*
My child is interested in:*

Just Fall LeagueJust Spring LeagueFall & Spring LeaguesSummer Workout Sessions
Uniform Status*

My child already has a WNY Wolfpack UniformMy child has a WNY Wolfpack Uniform but needs new sizesMy Child is new and needs a uniform
Child's Uniform Size (XS-XXL etc and please note Child vs Adult i.e. Adult S, put NA if your child has a uniform and is all set)*
Child's Preferred Jersey Number (List 5) Put NA if your child has a uniform and is all set*
Child's AAU Membership #
Child's Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian Name*

First NameLast Name
Parent Email*
example@example.com
Parent Phone Number*
Please enter a valid phone number.
Are you interested in any of the following?

Coaching AssistanceFundraising CoordinatorTeam Parent
Child Phone
Please enter a valid phone number.
School District
Grade for the 2024-2025 School Year*
Previous Basketball Experience*

YesNo
Preferred Basketball Position (Guard, Point Guard, Center, Forward, or Any)
Any known allergies or medical conditions?*
List of Current Medications, Instructions, and Dosage*
Insurance Provider*
Insurance Phone Number*
Please enter a valid phone number.
Policy Number*
Policy Carrier*

First NameLast Name
Policy Carrier DOB*

MonthDayYear
Date
Primary Care Doctor Name*
Primary Care Doctor Phone*
Please enter a valid phone number.
Primary Care Doctor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact #1*

First NameLast Name
Emergency Contact # 1 Relationship to Child*
Emergency Contact #1 Phone*
Please enter a valid phone number.
Emergency Contact #2

First NameLast Name
Emergency Contact #2 Relationship to Child
Emergency Contact #2 Phone
Please enter a valid phone number.
Any additional information that we should know?*
I, First Name Last Name , acknowledge for myself and on the behalf of my child, First Name Last Name , that I have read and understood the WNY Wolfpack Team Code of Conduct, and I agree to abide by its terms and conditions. I understand that any violation of this code of conduct may result in consequences, as outlined in the code, including warnings, suspension, or removal from the club.
Parent Signature*

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Date of Signature*

MonthDayYear
Date
Should be Empty:

WNY Wolfpack Girls AAU 2024-2025 Sign Ups