W.U.N. Basketball Registration Form

Pick one:

Other

Age Level:

Child's Name

First NameLast Name

Child's D.O.B

Age:

Shirt Size:

Parent's Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Medical Conditions: Please list any medical conditions you feel our organization needs to be made aware of.

Emergency Contact Name

First NameLast Name

Emergency Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Release & Liability

In Consideration of my/our child being allowed to participate in any way for the W.U.N. BASKETBALL program, it's related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risk of injury from the activities involved in this program is significant, including the potential risk for permanent paralysis and death, and while particular rules, equipment and personal disipline may reduce the risk, the risk of serious injury does exist; and

I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsilbity for my participation; and I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe an unusual and significant hazard during my presence or participation, I will bring such to the attention of the nearsest official immediately; and

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless W.U.N. BASKETBALL, LLC Youth Sports, and it's officers, officials, agents and/or volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event, with respect to any and all injury, disability, death, or loss or demage to person or property, wheather arising from the negligence of the releases or otherwise, to the fullest extent by law.

If a child leaves a practice, training, ora game for any medical reason, he or she cannot return without medical clearance from a physician. At any time, a coach can require medical clearance of a player to be able to participate or play at his/her own discretion.

Photo release statement: I also hereby consent, without further consideration or compensation, to use (full/partial) of all photos, audios or videos made of my child or family members during W.U.N. BASKETBALL, LLC sporting events, for the purposes of events documentation, promotional materials or web content. Further, I release W.U.N. BASKETBALL, LLC and its volunteers from any liability, which may arise from the use of those photos.

I have read this release of liability and assumption of risk agreement. I fully understand its terms. I understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Signature

My Subscriptions

SKILLS AND DEVELOPMENT MONTHLY MEMBERSHIP

Athletes receive access to weekly scheduled training sessions based on their age and skill level. Sessions focus on fundamentals, team concepts, skill development, strength and conditioning, agility as well as game-speed training and competition. ** This is a monthly plan. If you would like to pay weekly, please select Weekly $30. Thank you for trusting us with your athlete.

$100.00 for each month

Individual Training Sessions (30-45 min)

Every workout is a customized high-energy training session designed to meet your athlete where they are. Our individual training sessions focus on improving and development individual strengths and weaknesses while developing confidence both on and off the court.

$20.00 for each week

Open Runs

Free for W.U.N. Basketball Members! Players can enjoy open run games, sharpen their skills, and connect with others. We welcome community participants with a minimum $2 donation non members. This donation will help go to out WUN Foundation helping student athletes in sports and academics.

** Schedule TBA

Free for each month

Email

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