Fremd HS Girls Feeder Basketball - (Palatine, IL)

Fremd Feeder Tryout Registration Form

Please complete this form to register for Fremd Feeder Tryouts. This form must be completed by a parent or guardian as it contains a waiver which must be signed to participate in tryouts or Fremd Girls Feeder basketball. If a player shows up for tryouts without having submitted this form, her parent/guardian will need to complete the form and sign it at the tryout.

PLAYER INFORMATION

* First Name:

* Last Name:

* Grade level:

* School:

* Street address:

* City:

* State:

* Zip Code:

* Birthdate:

Primary Contact

* Primary Contact Full Name:

* Email:

* Cell Phone:

Secondary Contact

* Secondary Contact Full Name:

* Email:

* Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact Name:

* Emergency Contact E-mail:

* Phone:

* Relationship to Player:

* Any additional information you wish to share about this player, including allergies?:

WAIVER INFORMATION

I am the parent or legal guardian of the minor listed above, who will be participating in Fremd Feeder Girls Basketball Program (the "Program") tryouts, practices, and games. I have investigated the risks involved in the minor's participation in these activities, and fully understand and assume such risks on her behalf including potential risks arising from the Covid-19 virus which are inherently present with any group activity both indoors and outdoors. I REQUEST THAT THE PROGRAM ALLOW THE MINOR TO PARTICIPATE IN THESE ACTIVITIES, AND AGREE TO RELEASE AND FOREVER DISCHARGE THE PROGRAM, ITS OFFICERS, DIRECTORS, COACHES, AND ANY PARTIES VOLUNTEERING ON BEHALF OF THE PROGRAM, FROM ALL ACTIONS, CAUSES OF ACTION, INJURIES, CLAIMS, DAMAGES, COSTS OF EXPENSES OF ANY KIND RESULTING FROM OR RELATED TO SUCH PARTICIPATION. I UNDERSTAND THAT THIS IS A FULL AND COMPLETE RELEASE OF ALL INJURIES AND DAMAGES WHICH THE MINOR MAY SUSTAIN AS A RESULT OF HER PARTICIPATION, REGARDLESS OF THE SPECIFIC CAUSE THEREOF.

* As parent or legal guardian, please type your name:

I/we agree with the above *

* indicates required fields