Capital City Youth Association - (Austin, TX)

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2025-26 CCYA Tigers Rec Basketball Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

* Gender:

* AGE (as of August 1, 2025):

* Grade:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

INSURANCE

I, the Guardian of this child, understand that as a league and any of its Organizations or branches do NOT provide Health/Injury Insurance.

PHYSICAL EXAMINATION WAIVER

I, the Guardian of this child, believe to the best of my knowledge that he/she can withstand the rigors of a basketball season. I, the Guardian, believe there is nothing physically or mentally wrong with my child. I, the Guardian, hereby give my approval for my child to participate in the upcoming season without a physical examination which is recommended by Capital City Youth Association (CCYA).

GUARDIAN UNDERSTANDING

Conduct: I understand that We are expected as Guardians to conduct ourselves in a civil manner at all Manor and CCYA events. I understand that the consumption of alcohol and tobacco products is strictly prohibited at Manor ISD & CCYA games and events.

Parental Medical Treatment Authorization: In the event of injury to my child, I hereby grant authority to a qualified physician to render such medical treatment as said physician deems necessary under the circumstances.

Equipment Liability: The Guardians are responsible for returning all equipment and uniforms, clean and in good condition to CCYA. We, the Guardians will be responsible for reimbursement to CCYA any cost of lost or excessively damaged equipment and or uniforms.

Waiver
I, the Guardian of the above named child, hereby give my approval to his/her participation in any and all CCYA Tigers Basketball activities during the current season. I understand that participation in basketball may result in serious injury or permanent disability. In consideration of my child being allowed to participate I assume all risks and hazards incidental to such participation known and unknown including transportation to and from such activities, and I do hereby waive, release, absolve, indemnity and agree to hold harmless the Manor ISD, CCYA, the sponsors, supervisors, participants, volunteers and persons transporting my child to and from activities for any claim arising out of negligence or injury to my child to the fullest extent permitted by law.

I/we have read and understand all information on this form. No refunds applicable after Dec 31, 2025. *

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Processing Fee($2) *