Boys Travel Team Registration Form

Boys Travel Team Registration Form

Bone Collector Academy AAU

Athlete Information

Player Name*

First NameLast Name

Age*

Player Number*

Option 1

Option 2

Guardian / Parents Names*

First NameLast Name

Cell Phone*

Area CodePhone Number

Alternate Phone

Area CodePhone Number

E-mail*

Basketball skill level*

	1	2	3	4	5

1 is Beginner, 5 is Advanced

Team Manager

Important Notes

· Dress appropriately and in uniform for games/tournaments

· Bring water and any need inhalers to all games and practices.

· The league organizers reserve the right to form the teams to ensure the talents of all teams are balanced and cannot guarantee all player numbers will be available.

· Fee: $450 per athlete. Includes insurance, two uniforms, access to BCA online, 7-9 tournament weekends, video footage, and weekly statistics.

. A minimum payment of 50% of the total fee is due upon registering. The next 25% will be do within 3 weeks of registration, and the remaining 25% will be due prior to first tournament. All payments are non refundable and by submitting this registration you are stating you understand the payment policy.

Emergency Contact & Health Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Must be 18+

Phone Number*

Area CodePhone Number

YesNo

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 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 Bone Collector Academy and Team Ankle Breaker, LLC.

YesNo

Signature

My Products

Norwich, CT$950.00

Percentage
Item subtotal:$0.00

Rochester, NY$450.00

Percentage

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.