Registration Form

Spring/Summer 2025

MIDDLE SCHOOL TRYOUTS
Athlete Information
Player Name*

First NameLast Name
Grade*
Age*
Birthdate*

MonthDayYear
Date
Jr. 3SSB

Type option 1Type option 2Type option 3Type option 4
Jr.3SSB *

11U12U13U14U15U16U17U
School*
Guardian / Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Cell Phone*
Parent Email:*
example@example.com
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 known 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

· Fall/Winter Tryout Date is Sunday October 27, 2024

· Tapestry Charter High School 111 Great Arrow ave. Buffalo, NY 14216

· Middle school times 5th(11U)/ 6th(12th) 9-11am, 7th(13U)/ 8th(14U) 12-2pm

· Dress appropriately. (Sneakers, shorts, t-shirt)

· No food in the gym (Bring Water Bottle)

· Be prepared to compete & on time!
Should be Empty:

Spring/Summer 2025

Release of Liability