Basketball Registration Form PDF Details

Embarking on a journey into youth basketball involves not just excitement and physical readiness but also the essential step of completing the Basketball Registration form. This document is meticulously designed to ensure each child’s participation is secure, informed, and tailored to their needs. Vital information such as the participant's name, age, contact details, and shirt size are just the starting point. The form uniquely emphasizes health by requiring a physical exam update every two years, showcasing its commitment to player well-being. Options to express interest in camps, alongside specifying the participant's gender, cultivate a personalized approach. Furthermore, the inclusion of emergency contact details, medical conditions, and allergies highlights a thorough consideration for safety. With a section dedicated to a waiver of liability release, it entrusts parents or guardians with the responsibility of acknowledging the risks involved. This form, critical for the Surry County Parks and Recreation Department, not only facilitates smooth administration but also reassures participants' families by prioritizing health, safety, and personal preferences. Completing this form is a key step in laying the foundational bricks of an engaging and secure sporting experience for the youth.

QuestionAnswer
Form NameBasketball Registration Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbasketball registration form template, printable basketball registration form, basketball registration form pdf, youth basketball league registration form

Form Preview Example

YOUTH BASKETBALL REGISTRATION FORM

COMPLETE ONE FORM PER CHILD

A PHYSICAL EXAM IS REQUIRED FOR ALL PARTICIPANTS AT LEAST EVERY TWO YEARS

Check here if interested in camp (

)

 

Fee _____________________

Please circle one: Male Female

T­Shirt Size: Youth SM Med L XL

Adult SM Med L

XL 2XL 3XL

Participant’s Name ____________________________________________________________________

Age ___________

Address ____________________________________________________________ Date of birth _______________________

City _______________________________

State ___________

Zip ___________________

 

Parent/Legal Guardian’s Name _________________________________________________________________________

Home Phone ______________________ Cell Phone ____________________

Work Phone ____________________

E­mail Address _____________________________________________________________________________________________

 

IN CASE OF EMERGENCY

 

 

Contact # 1

 

Contact # 2

 

Name _____________________________________________________

Name _____________________________________________________

Address __________________________________________________

Address __________________________________________________

Home # ___________________________________________________

Home # ___________________________________________________

Cell # ______________________ Work # ____________________

Cell # _____________________

Work # _____________________

****************************************************************************************************************

Participant’s Allergies: _____________________________________________________________________________________________________________

Participant’s Medical Conditions: ________________________________________________________________________________________________

MEDICATIONS CANNOT BE GIVEN TO ANY CHILD OR ANYONE EMPLOYED BY THE SURRY COUNTY PARKS AND

RECREATION DEPARTMENT.

Name of Participant’s Physician __________________________________________________________________________________________________

Physician’s Telephone _____________________________________________________________________________________________________________

****************************************************************************************************************

WAIVER OF LIABILITY RELEASE FORM

I am aware of the nature of this activity and I hereby assume responsibility for _________________________________________________

(Participant’s Name)

to participate and to be photographed for publicity purposes. I will not hold the COUNTY OF SURRY, THE DEPARTMENT OF PARKS AND RECREATION and/or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of the Surry County Department of Parks and Recreation prior to participation in this program.

 

 

 

 

FOR OFF)CE USE ONLY

Parent/Legal Guardian Signature __________________________________________________________________ Date ________________________________

 

Amount Paid _________________

M.O.

Cash

Check # ______________ Receipt $ ______________ Received by _______________ Date ______________

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Step number 1 in filling in basketball registration form template

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Contact Contact Name Name , Contact Contact Name Name , and FOR OFFCE USE ONLY inside basketball registration form template

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