P.U.S.H. Athletics Academy 2026 Summer Tryout Registration

P.U.S.H. Athletics Academy Spring/Summer Basketball Tryouts 2026

Athlete Information

Player Name

First NameLast Name

Gender

T-shirt size

Grade

Height

Age

Athlete Date of Birth

Date

School attending

Best position

Basketball skill level

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Address

Street Address

Street Address Line 2

City

Postal / Zip Code

NOTE: Please enter contact information for the parent/guardian below. This is how we will reach you regarding the results of this tryout.

Guardian / Parents’ Name

First NameLast Name

Parent phone number

Area CodePhone Number

Parent cell phone number

Area CodePhone Number

Parent E-mail

Important Notes

-If you are registering multiple athletes, we must have a separate registration form for all.

-Dress appropriately.

-No food or drink in the gym.

-Keep the gym clean.

-Bring your own basketball.

-Be on time.

Emergency Contact's Name

First NameLast Name

Phone Number

Area CodePhone Number

Relationship

Does the student-athlete have any allergies, chronic illness, or medical conditions that would limit high level activtiy?

Please describe

Parental 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, and I authorize the person in charge to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.

Name of Physician / Emergency Medical Care Facility

Phone Number

Area CodePhone Number

Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities hosted by P.U.S.H. Athletics 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 P.U.S.H. Athletics and the persons in charge.

I have read and agree to the above conditions

Confirmation E-mail

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 pushathletics8@gmail.com

My Products

Student/athlete registration $20.00

Admits 1 player for P.U.S.H. Athletics Academy Spring/Summer 2026 Tryouts

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Release of Liability

My Products*

Payment Methods

My Products