Prince Jazz X National Registration

PRINCE JAZZ X NATIONAL

FLORIDA

Athlete Information

Player Name*

First NameLast Name

Date Of Birth*

Date

Graduation Class*

Guardian / Parents Names*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address*

Street Address

Street Address Line 2

City

Postal / Zip Code

Home Phone*

Area CodePhone Number

Cell Phone

Area CodePhone Number

E-mail*

Baseball skill level*

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Brief Description of Desired Goals at End of Program:

Important Notes:

National Team Selection: The Prince Jazz X National Team will be hand-picked by our coaching staff and board. This elite team will consist of 11 top-performing players, chosen based on their skill, effort, attitude, and potential.

Evaluation Process:All players participating in the travel ball program will be evaluated during practices, games, and events. Selection for the national team is a highly competitive process, and only those who demonstrate exceptional ability and commitment will be chosen.

Commitment Requirement:Players selected for the national team must be fully committed to attending all practices, games, and tournaments as scheduled. Dedication to team success and personal development is a priority.

Travel and Tournament Details: The national team will represent Prince Jazz X in high-level tournaments and showcases, providing players with exposure to scouts and opportunities to compete against the best.

Player Development Focus:Our program emphasizes not only competitive performance but also the personal and athletic growth of every player.

Team Gear:National team players will receive custom team gear, which is included as part of their participation

Additional Costs:While most expenses are covered by the program, additional travel or lodging fees may apply for tournaments. Detailed information will be provided upon team selection.

PLAYERS MUST UPLOAD their game and practice videos at the end of the registration form. A button is available for you to upload your videos before submitting your registration. Make sure your videos are properly uploaded to complete your registration process.

Emergency Contact & Health Insurance Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

Do you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo

Please describe*

Parental/Guardian 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. I give consent for the facility to secure any and all necessary emergency medical care for my child.

Parent/Guardian's Signature

Date

Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at Youth 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 Anfernee Seymour Foundation and the persons in charge.

I have read and agree to the above conditions*

YesNo

Confirmation E-mail*

Parent/Guardian's 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 info@princejazzx.com

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