25' Fall/Winter Registration Form

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Player Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Age*
Grade*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School*
Guardian / Parent Name*

First NameLast Name
Parent Cell Phone*
Parent Email:*
example@example.com
CHOOSE YOUR JR. 3SSB TEAM🏀*

11U (cannot turn 12 until July 1)12U (cannot turn 13 until July 1)13U (cannot turn 14 until July 1)14U (cannot turn 15 until July 1)
Upload a 🏀player pic! *

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Player Instagram
Ex: @playerinstagram
Emergency Contact & Health Insurance Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Do you have any allergies, chronic illness, or medical conditions that would limit high level activity?*

YesNo
Please describe (if unknown type NA)*
Release of Liability

Although the safety of all sport activities is the primary concern, Basketballl activities at Tapestry Charter School facility 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 Unit Promise and Tapestry Charter School.
I have read and agree to the above conditions*

YesNo
Confirmation E-mail*
example@example.com
Important Notes:

🏀 2025 FALL / WINTER SEASON TRYOUTS 🏀

📍 Location:

Tapestry Charter High School – Lower School Gym

111 Great Arrow Ave, Buffalo, NY 14216

🗓️ Tryout Times:

11U / 12U: 10:00 – 11:30 AM
13U / 14U: 12:00 – 1:30 PM

✅ Details to Know:
- FREE Tryouts – no cost to participate
- Program runs October – February (up to 6 travel events)
- Practices will be 2-3x per week (required)
- Travel Commitment: Events maybe local but also up to 5-7 hours away
- Winter Season Fee: $550
- Tryouts include stretching, conditioning, skill challenge, and live competition
- Bring: Water, shorts, sneakers
- ⏰ Please arrive on time and ready to give your best effort
If you have any questions or concern, please fill free to reach out! 716-359-4658
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Release of Liability