DASA Elite Basketball
2025 AAU Spring Season Tryout Form

Practice Location

 Lakeside Middle School, 2 Sharp St, Millville, NJ 08332

Athlete Information

Jersey Information

Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities of Dennis Autry Sports Association, LLC. during the selected session. In exchange for the acceptance of said child’s candidacy by Dennis Autry Sports Association, LLC, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless to Dennis Autry Sports Association, LLC. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of travel to, participating in, or returning from practices, exhibitions, parades or competitions conducted during the season.

There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

In case of injury to said child, I hereby waive all claims against Dennis Autry Sports Association, LLC. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

Furthermore, all images and videos of Dennis Autry Sports Association, LLC. are the property of Dennis Autry Sports Association, LLC. and can be used for any promotional consideration.

I hereby state that I have carefully read the above waiver. Acceptance and understanding of this agreement are hereby acknowledged.

Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Dennis Autry Sports Association, LLC. Director/Coach/Team Parent to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates of the registered sessions.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Program Policies and Terms

TRYOUT:

Refunds will only be provided, regardless of reason, up to 24 hours prior to the start of the registered program if a player chooses not to participate. Notification of non-participation must be given to the DASA Elite basketball by email. Emails should be sent to troyjr911@hotmail.com. An acknowledgement email will be sent to verify withdrawal from the program was received. Within 24 hours to the start of the registered program, refunds will not be given, regardless of circumstances.

SEASON:

If placed on a team and player accepts, payment for the full program fee is deemed due and owing to DASA Elite Basketball. and fully earned by Dennis Autry Sports Association, LLC. upon the athlete's acceptance into the DASA Elite Basketball.

There are NO REFUNDS or CREDITS for the program fee if an athlete voluntarily chooses not to continue with the DASA Elite Basketball program or is removed from an DASA Elite team due to disciplinary conduct prior to the end of the season.

Additionally, any athlete who voluntarily leaves the program or is removed from a team prior to the end of the season will be responsible for immediate payment of any remaining balance due on their account including the FULL program fee.

Furthermore, if placed on an DASA Elite team and upon acceptance of the athlete, a parent/guardian and/or guarantor must agree to our FULL Policy and Terms Agreement, which will be provided at the time of team selections. This must be completed prior to the athlete being fully accepted into the program.

Confirmation

By entering the information below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at troyjr911@hotmail.com or Direct Message us on Instagram @dasathletics