Basketball League Registration Form

Cerberus Sports Auburn

Basketball Team Try Outs and Registration Form
Athlete Information
*REQUIRED TO JOIN CERBERUS SPORTS* What is your AAU Identification Number? Don't have one? Please Register for your AAU Membership at https://play.aausports.org/*
Player Name*

First NameLast Name
Add Additional Players (Please provide first and last name)
What age gender is your child?*

FemaleMale
What age is your Child?*
Please select which Training Package you would like to enroll in:*

12 Sessions (4 weeks) - $3003 Sessions (1 week) - $1001 Session (1 day) - $40Girls 13U Tournament Team (Price may vary)
Fee Agreement*

By submitting this registration form, I understand that full payment is required prior to participation. Registration is not considered complete until payment has been received.
PROMO CODE:
Guardian / Parents Names*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Cell Phone
E-mail*
example@example.com
Basketball skill level*

1

2

3

4

5

1 is Begginer, 5 is Advanced
Interested in Volunteering while your team is not playing?

Operate Scoreboard or Scorebook
I would like to play on the same team with following players. League organizers will form teams base on this buddy list and your skill level.
Important Notes

· Dress appropriately.

· No food or drink in the gym.

· Keep the gym clean.
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Do you have health insurance ?

YesNo, I'll pay with cash.
Insurance Carrier
Name of Policy Holder
Subscriver ID/Group Number
Card Number / Card Date
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
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

CityState / Province

Postal / Zip Code
Phone Number
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*

YesNo
Confirmation E-mail*
example@example.com
Signature*

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Photo Release Form for Minors
Minor/Child Details
Minor/Child Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Authorization and Release Agreement
- I allow Cerberus Sports Auburn to take or capture photos and videos of my Child.
- I understand that all photos and videos that will be taken are copyrighted by Cerberus Sports Auburn.
- I authorize Cerberus Sports Auburn to distribute, reproduce, for the following purposes: Portfolio showcase, advertising, marketing, branding, digital promotions, educational media. other commercial or non-commercial purposes
- I grant Cerberus Sports Auburn to use my photos and videos on Facebook, Twitter, Instagram, and other social media platforms.
- I understand that my Child will not receive any monetary compensation.
- I do not permit Cerberus Sports Auburn to use these materials that can harm the reputation of my Child or others.
- I release Cerberus Sports from all liability and obligations from any claim for injury, illnesses, claims, or demands.
- I/We, the undersigned, hereby agree that we have read this agreement and bounded by it.
Parent/Guardian Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Cerberus Sports Auburn

Release of Liability

Photo Release Form for Minors

Minor/Child Details

Authorization and Release Agreement