Register Your Child
Help your child grow in faith, confidence, basketball skills, leadership, and purpose beyond the court. Complete the form below, and BYT will contact you with availability, program information, and next steps.
Currently serving ages 5–12 • More age groups will be added in the future
Since we are a new non-profit and just getting things started we are accepting no more than 15 kids for the first few months.
Program Cost: $20 Per Month
The monthly fee includes four program meetups. Payment instructions and additional details will be provided after the registration form has been reviewed.
Parent Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Parent Phone Number
*
Format: (000) 000-0000.
Child Name
*
First Name
Last Name
Child Age
*
Please Select
5
6
7
8
9
10
11
12
Additional Information
Why are you interested in BYT for your child?
Question Or Additional Information
Parent Or Guardian Acknowledgment
All required acknowledgment must be selected before submitting
*
I Confirm That I am The Child's Parent/Legal Guardian
I understand that submitting this form does not guarantee enrollment. BYT will contact me regarding availability, program details, and next steps.
I understand that the BYT program fee is $20 per month and includes two to four program meetups. Payment instructions will be provided after my child's registration has been reviewed.
I give BYT permission to contact me regarding registration, programs, events, and upcoming opportunities.
Parents Signature
*
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Emergency Medical Authorization & Info Sheet
Player Information:
Player's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
*
Male
Female
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT / GUARDIAN CONTACTS
Primary Contact Name:
*
First Name
Last Name
Relationship To Child:
*
Primary Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Contact Name:
*
First Name
Last Name
Relationship To Child:
*
Secondary Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
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CRITICAL MEDICAL HISTORY
Known Allergies (Food, Drugs, Insect Stings):
Current Medications / Health Conditions (e.g., Asthma, Diabetes):
Does the child carry a rescue inhaler or EpiPen? *If yes, please ensure the device is present in the child's gym bag at every Saturday session.
Does the child carry a rescue inhaler or EpiPen? *If yes, please ensure the device is present in the child's gym bag at every Saturday session.
*
Yes
No
EMERGENCY MEDICAL CONSENT
In the event of a medical emergency, injury, or severe heat illness occurring during training sessions hosted by Be Ye Transformed Basketball Outreach INC., I hereby grant explicit permission to the coaching staff and authorized volunteers to administer basic first aid. If I or my designated secondary emergency contact cannot be reached immediately by phone, I authorize the program staff to secure proper medical treatment, call 911, and approve emergency medical transport or hospitalization for my child. I assume full responsibility for any out-of-pocket expenses or deductibles not covered by primary or secondary insurance policies.
Parent/Guardian Printed Name:
*
First Name
Last Name
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Signature:
*
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Florida-Compliant Concussion Information & Consent Form
Compliance Document — Formulated Under Florida Statute § 1006.20
WHAT IS A CONCUSSION?
A concussion is a brain injury caused by a physical blow, bump, or jolt to the head or body. Even a minor collision or a hard fall onto an outdoor asphalt court can cause the brain to move rapidly inside the skull. Concussions are serious medical conditions, and a child does not need to lose consciousness to have sustained one.
RECOGNIZING THE SIGNS & SYMPTOMS
Symptoms can show up immediately, or they may take hours or days to fully appear. Watch for the following signs during or after Saturday training sessions:Symptoms Reported by the Athlete:Headache, head pressure, or throbbingNausea or vomitingDizziness, balance problems, or poor coordinationDouble vision, blurry vision, or sensitivity to sunlight/lightFeeling sluggish, foggy, hazy, or confusedSigns Observed by Coaching Staff or Parents:The child appears dazed, stunned, or vacantConfused about simple basketball drills or positionsMoves clumsily, stumbles, or drops the ball frequentlyAnswers coaching questions slowly or repeats questionsShows sudden mood, behavior, or personality changes
ACTIONS TAKEN IF A CONCUSSION IS SUSPECTED:
Immediate Removal: Any youth athlete who displays any symptom or sign of a concussion during practice will be pulled from the court immediately. "When in doubt, sit them out."Parent Notification: The head coach will immediately contact the parent/guardian to explain the nature of the head impact and detail the observed symptoms.Strict Return-to-Play Protocol: Under Florida law, a player removed for a suspected concussion is legally banned from returning to any subsequent basketball sessions until they are evaluated by a licensed physician and provide a signed, written medical clearance form to the organization.
ACKNOWLEDGMENT AND CONSENT
By signing below, I acknowledge that I have received, read, and fully understand the dangers, symptoms, and legal removal-from-play protocols associated with concussions as outlined by Florida Statute. I agree to monitor my child for these signs and adhere strictly to the medical clearance requirements before allowing them back on the court.
Player's Name
*
First Name
Last Name
Parent/Guardian Printed Name:
*
First Name
Last Name
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Signature:
*
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Comprehensive Liability Waiver & Release Form
NOTICE TO THE MINOR CHILD’S NATURAL GUARDIAN:
PURSUANT TO SECTION 744.301, FLORIDA STATUTES, YOU ARE AGREEING THAT, EVEN IF BE YE TRANSFORMED BASKETBALL OUTREACH INC. USES REASONABLE CARE IN PROVIDING THIS ACTIVITY, THERE IS A CHANCE YOUR CHILD MAY BE SERIOUSLY INJURED OR KILLED BY PARTICIPATING IN THIS ACTIVITY BECAUSE THERE ARE CERTAIN DANGERS INHERENT IN THE ACTIVITY WHICH CANNOT BE AVOIDED OR ELIMINATED. BY SIGNING THIS FORM YOU ARE GIVING UP YOUR CHILD'S RIGHT AND YOUR RIGHT TO RECOVER FROM BE YE TRANSFORMED BASKETBALL OUTREACH INC. IN A LAWSUIT FOR ANY PERSONAL INJURY, INCLUDING DEATH, TO YOUR CHILD OR ANY PROPERTY DAMAGE THAT RESULTS FROM THE RISKS THAT ARE A NATURAL PART OF THE ACTIVITY. YOU HAVE THE RIGHT TO REFUSE TO SIGN THIS FORM, AND BE YE TRANSFORMED BASKETBALL OUTREACH INC. HAS THE RIGHT TO REFUSE TO LET YOUR CHILD PARTICIPATE IF YOU DO NOT SIGN THIS FORM.
Parent/Guardian Signature
*
Submit
Submit
Should be Empty: