Basketball/Volleyball Training Registration Form

Cerberus Sports Auburn

Volleyball/Basketball Training Registration Form
*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/
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*
Cell Phone
E-mail*
example@example.com
What age group/gender is your child?*

Female - 8th Grade and underFemale Highschool Freshman-SeniorMale- 8th Grade and underMale Highschool Freshman-Senior
Please select which Training classes work for you: (Please note that once you select your dates, you must attend the same class each week, the days are not interchangeable)

Boys (all ages) Monday 4pm-530pmBoys (all ages) Tuesday 4pm-530pmBoys (all ages) Friday 330pm-5pmFemale (all ages) Monday 530pm-7pmFemale (all ages) Tuesday 530pm-7pmFemale (all ages) Friday 5pm-630pm
Please select which Sport your child would like to participate in*

BasketballVolleyball
Basketball/Volleyball skill level*

1

2

3

4

5

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

Carpool VolunteerOperate Scoreboard
Important Notes

· Dress appropriately. No Crocs.

· No food or drink in the gym. Only water!

· 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
Authorization and Release Agreement

I allow Cerberus Sports Auburn to take or capture photos of my Child.
I understand that all photos 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 on Facebook, Twitter, Instagram, and other social media platforms.
I understand that my Child will not receive any monetary compensation.
I/We, the undersigned, hereby agree that we have read this agreement and bounded by it.
Signature

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Cerberus Sports Auburn

Release of Liability

Photo Release Form for Minors

Authorization and Release Agreement