Basketball Tryout Registration Form

Basketball Tryout Registration Form

Tryout Registration Fee: $20.00 per player. Cash, CashApp or PayPal
Athlete Information
Player Name

First NameLast Name
Guardian / Parents Names

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
E-mail
example@example.com
Height
Weight
Position(s) Played
Interested in Volunteering while your team not playing?
Important Notes

Age verification is required (ex: birth certificate, unofficial transcript)

Dress appropriately.

No drinks allowed in the gym.

Keep the gym clean.

Come prepared to work, skill level(s) wil be evaluated.

Illinios PhantXmz can be reached at: illinoisphantxmz@gmail.com
Emergency Contact & Health Insurance Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?
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.
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at Sport Center's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Sport Center and the persons in charge.
I have read and agree to the above conditions
Confirmation E-mail
example@example.com
Signature
Should be Empty:

Basketball Tryout Registration Form

Release of Liability