Basketball Registration Form for Ages 5-6

Basketball Registration Form for Ages 5-6
Athlete Information
Participant's Full Name*

First NameLast Name
Participant's Date of Birth*

MonthDayYear
Date
Parent or Guardian Full Name*

First NameLast Name
Parent or Guardian Email Address*
example@example.com
Parent or Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Basketball Skill level

1

2

3

4

5

1 is Beginner, 5 is Advanced
Does your child have any allergies, chronic illness, or medical conditions that would limit high level activity?
Social Media Consent

I give consent for my child to be featured on the Forney Buffalos social media platforms, including but not limited to Facebook, Instagram, Twitter, and YouTube. I understand that the content may include photos, videos, and written descriptions of my child participating in basketball activities and events organized by the Forney Buffalos. I agree that Forney Buffalos may use my child's image and likeness for promotional and informational purposes related to the activities and events of the Forney Buffalos.
YesNo
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.
Signature*

Payment*

First Month payment

remaining months will be invoiced monthly to email provided due on the 1st of each month.

$60.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Cash App Pay

ACH Bank Transfer

Afterpay

Should be Empty:

Basketball Registration Form for Ages 5-6

Athlete Information

Payment Methods