Registration Form

Registration Form

2026 AAU - Form to be completed by Parent/Guardian only. Registration is not complete until at least half of the Registration Fees are paid. Team email: info@truthathleticclub.com Team Website: www.truthathleticclub.com
Athlete Information
Player Name*

First NameLast Name
Player DOB*

MonthDayYear
Date
Player Cell #
Please enter a valid phone number.Format: (000) 000-0000.
GPA
Example: 3.5
Grade
Example: 5th grade, 6th grade, 7th grade, 8th grade, 9th grade, etc.
School of Attendance
Example: Jonesboro MS
Preferred Uniform #
Different # will be assigned if preferred # available
Uniform Size
Are you 18 or older*

YesNo
Please Upload a Basketball Profile Picture*

Cancelof
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
Basketball skill level*

1

2

3

4

5

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

Track StatsOperate Scoreboard
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Format: (000) 000-0000.
Do you have health insurance ?*

YesNo, I'll pay with cash.
Insurance Carrier
Name of Policy Holder
Subscriber 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 if answered "Yes".
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
Format: (000) 000-0000.
Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities with Truth Athletic Club and it'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 Truth Athletic Club and the persons in charge.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com

My Products*

AAU Registration/Deposit

1 player - Girls Middle and High School

$75.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Afterpay

Date Form Completed

MonthDayYear
Date
Name of Person completing Registration

First NameLast Name
Should be Empty:

Registration Form

Release of Liability

Payment Methods