Sycamore Force

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Sycamore Force Tryout Registration

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

* Grade:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

First Name:

Last Name:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

Phone:

Relationship to Player:

Liability Waiver

I/We the parents/legal guardian of the above named child/participant hereby give our permission for him to participate in the Sycamore Force Travel Basketball tryout. I/We hereby waive, release, absolve, indemnify and agree to hold harmless the organizers; sponsors; supervisors; participants; coaches; officials; board members; league officials; and persons transporting my/our child to and from activities; for any claim arising out of an injury to my/our child, whether the result of negligence or for any other cause. This waiver is being made knowingly, and is being made on behalf of the undersigned, the child, and child’s parents/legal guardians. This waiver is final and irrevocable.

I/we agree with the above *

Emergency Care Medical Emergency

In case of emergency and parents/legal guardian and/or family physician cannot be contacted, I authorize league officials/coaches to transport my child to a hospital/medical facility and give permission for said hospital/medical facility to give my child emergency care treatment.

I/we agree with the above *

* indicates required fields

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Sycamore Force Tryout Registration