24-25 (7th-8th) Sign Up Form

2024-2025 Sign Up Form

Fill out the form carefully to complete Registration
Student Name*

First NameMiddle NameLast Name
School*
Grade Level
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Birth Date*

MonthDayYear
Mother Name
Mother Cell
Please enter a valid phone number.
Mother Email
example@example.com
Father Name
Father Cell
Please enter a valid phone number.
Father Email
example@example.com
Parent interested in Coaching?

YesNoI could help a little
To what extent would you be willing to help?
Emergency Contact
Emergency Contact #
Please enter a valid phone number.
Future Pioneers Boys Registration Contract
I, blanks* parent/guardian of blank* understand and acknowledge that by registering my son in the 2024-25 Future Pioneers Boys Program, I agree to the terms below and those provided in the 2024-25 Code of Conduct.
- Alleman and FPBB coaches will assess player skills and form teams at their discretion and without influence from player's and/or parents. All decisions are final.
- Refunds will not be provided due to disagreements with coaching assessments, team rosters, size of team, coach assignments, etc.
Parent /Guardian Signature*

Clear
Date

MonthDayYear
Date
2024-25 Future Pioneers Boys Basketball Player Contract and Liability Waiver
PARENTAL SIGNATURE STATEMENT I/We give approval for this candidate to participate in any and all Future Pioneers Boys Basketball activities. I/We attest that the information given in this application is correct to the best of my/our knowledge and agree to provide a certified birth certificate for the above applicant if required by the Board of Directors.

I/We have read and will abide by and support the requirements and responsibilities as outlined in the above participation contract and acknowledge that my/our failure to do so may result in disciplinary action being taken.

I/We know that participation in basketball can result in injury and do hereby waive, release, absolve, indemnify, and agree to hold harmless the Future Pioneers Boys Basketball organization and all related entities or persons, including persons transporting my/our child to and from activities, for any claim arising out of any injury to my/our child, except to the extent and in the amount covered by our own accident or liability insurance and/or that or the Future Pioneers Boys Basketball organization, if any, and/or that provided under protection of law.
Medical Conditions: Please List any medical conditions of the above player.(Asthma, diabetes, epilepsy, allergies, etc.)
I/We authorize any adult in charge to seek medical treatment for the above applicant, as deemed necessary, in the absence of a parent/guardian, without liability.
Parent Signature*

Clear
Date

MonthDayYear
Date
Athlete Signature*

Clear
Date

MonthDayYear
Date
Should be Empty:

2024-2025 Sign Up Form

Future Pioneers Boys Registration Contract

2024-25 Future Pioneers Boys Basketball Player Contract and Liability Waiver