Prestige Basketball Youth AAU Athletics in Mukilteo, Lynnwood, and Everett

Subscribe to our Newsletter

Player Registration

Please provide as much information as possible.

PLAYER

* First Name:

* Last Name:

* AAU Member Number:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

* Gender:

* Grade:

* Name of School:

Player contact info:

Player Cell Phone:

Player Email:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER

AMATEUR ATHLETIC MINOR WAIVER/RELEASE OF LIABILITY AND WEBSITE CONSENT FORM

Parent : PLEASE READ AND AGREE TO THE FOLLOWING:

In consideration of being allowed to participate in any way in the Prestige Basketball Organization, related events and activities, that I/we:

1. Agree that the parents/legal guardian will instruct the minor participant that prior to participating, he/she is to inspect the facilities & equipment to be used, & if the participant believes anything is unsafe, he/she should immediately advise his/her coach or supervisor of such condition & refuse to participate.

2. Acknowledge & fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability & death & severe social & economic losses which might result not only from their own actions, play or the condition of the premises or of any equipment used. Further that there may be other risks not known to us or foreseeable at this time.

3. Assume all the forgoing risk & accept personal responsibility for the damages following such injury, permanent disability & death.

4. Release, waive, discharge & covenant not to sue the Prestige Basketball Organization, their affiliated clubs, administrators, directors, agents, coaches & other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers. All of which are hereinafter referred to as releases from and all liability to each of the undersigned, his/her heirs & next of kin from any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release or otherwise.

5. Agree my/our son has received a physical examination by a physician and has been found physically capable of participating in athletics. I give my consent to have an athletic trainer and/or doctor of medicine or dentistry provide my son/daughter with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of each assistance and/or treatment.

6. Agree that if it appears that my child may have sustained a concussion or head injury that he/she is to be removed from the competition until such time that a trained medical professional can examine them and approve their return to play basketball. In such case, I understand that I/we am/are to provide a written clearance for my player to return to play basketball.

I/we have read & release and understand that I/we have given up substantial rights by agreeing to it and I / we hereby agree to it voluntarily.

I/we agree with the above *

===========================================================================

PHOTO AND VIDEO RELEASE:

I understand that the Prestige Basketball Organization, from time to time produces promotional material in relation to its program. I understand that as a participant in and / or a spectator of Prestige Basketball Organization functions, my son or daughter may be included in videotapes and / or photographs taken at such functions. Therefore, without reservation or limitations, I, in my own behalf and on behalf of the minor, hereby assign, transfer and grant to the Prestige Basketball Organization, its successors, assignees, sponsors, any television networks, and all other commercial exhibitors the right to photograph and/or videotape my son or daughter and to utilize such photographs and videotapes and the minor’s name, face, likeness, voice and appearance as part of Prestige Basketball Organization in advertising, Prestige Basketball Organization’s websites and promotional events sponsored or not by the Prestige Basketball Organization. I further understand that neither the Prestige Basketball Organization, nor any third party is under any obligation to exercise any of the foregoing rights, licenses and privileges.

I/we agree with the above *

WHO IS FILLING OUT THIS FORM AND AGREEING TO THIS WAIVER?

* First Name:

* Last Name:

* Relationship to Player:

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

Player Registration