ATLANTA BATTLECATS
PLAYER QUESTIONNAIRE
PERSONAL INFORMATION
NAME______NICKNAME______
ADDRESS______CITY______STATE______ZIP______
HOME PHONE ______CELL PHONE______
EMAIL______
BIRTH DATE______
ACADEMIC INFORMATION
HIGH SCHOOL______
GRADUATION DATE______
CITY______STATE______ZIP______
COLLEGE______
GRADUATION DATE______
CITY______STATE______ZIP______
MAJOR______MINOR______
WHAT OTHER TEAMS ARE YOU CONSIDERING TRYING OUT FOR? ______
______
BASKETBALL INFORMATION
YEARS OF EXPERIENCE: Pro______College______Varsity______JV______Other______
HEIGHT______WEIGHT______
PRIMARY POSITION______
POSITIONS PLAYED ______
CAREER STATISTICS (INCLUDE PERSONALBEST*)
COLLEGE: PPG______*_____ RPG:____*______APG:______*_____ SPG:______*_____BPG:______*______
HIGHSCHOOL: PPG______*_____ RPG:____*______APG:______*_____ SPG:______*_____BPG:______*______
AAU: PPG______*_____ RPG:____*______APG:______*_____ SPG:______*_____BPG:______*______
BASKETBALL HONORS______
______
COLLEGE COACH______PHONE #______EMAIL______
HIGH SCHOOL COACH______PHONE #______EMAIL______
SUMMER/CLUB TEAM______
SUMMER/CLUB COACH______PHONE #______EMAIL______
OTHER SPORTS:
1. SPORT______POSITION______HONORS______
______
2. SPORT______POSITION______HONORS______
______
WAIVER
By signing below, I understand and acknowledge that as a part of my participation with Atlanta BattleCats, there are dangers, hazards and inherent risks to which I may be exposed, including the risk of serious physical injury, temporary or permanent disability, and death as well as economic and property loss. I hereby voluntarily assume all risks of accident or injury to my person or property, whether foreseen or unforeseen. I hereby release the Atlanta BattleCats, Inner Good Health & Fitness Inc., and The Salvation Army, its employees, agents and representatives from any claim, liability demand, or suit or any kind sustained. This release shall be binding upon my heirs, administrators, executors and assigns. Should I incur an injury during participation in tryouts, I consent to receive emergency medical treatment.
I also acknowledge that prior to signing this release, waiver and assumption of risk, I have had an adequate opportunity to read it and any questions I had were directed to the appropriate Atlanta BattleCats personnel and have been answered to my satisfaction. I represent that I am of lawful age and legally competent to sign this release; that I understand that the terms herein are contractual and that I have signed this document as my own free act.
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Signature of Participant Date
PLEASE RETURN TO:
ATLANTA BATTLECATS
634 STONECREEK WAY
STONE MOUNTAIN, GA 30087