Basketball Registration Form

Basketball Registration Form

(Please print legibly)

Name: ______

Address: ______

______

Athlete Cell: ______Email: ______

DOB: ______Height: ______Gender: (circle one) M F

Shoe Size: ______Shirt Size: ______Shorts: ______

School Attending: ______

Grade: ______Class of: ______

Parent/Guardian Information:

Parent/Guardian #1 Name: ______

Cell Phone:______Email: ______

Parent/Guardian #2 Name: ______

Cell Phone: ______Email: ______

Emergency Contact: ______Phone#: ______

Please check areas that you would prefer to volunteer (choose all that apply):

( ) Purchase/bring snacks( )Chaperone fundraisers

WAIVER OF LIABILITY

This agreement officially excludes TEAM 7Sportsand all subsidiaries of TEAM 7 Sportsof any and all liabilities resulting from any accidents or injuries resulting from you and/or your child(ren)’s participation in any event itself and travel to and from any athletic events.

Furthermore, it is understood that any medical expenses incurred due to any TEAM 7Sportsathletics event is the sole responsibility of the participants’ parents or guardian in the event. This is inclusive of pre-existing conditions which may become aggravated due to you/your child (ren)’s participation in the athletic event.

It is also understood that no legal action will be against TEAM 7Sports or any subsidiaries or authorized personnel by you/your child(ren) because of any matters related to directly to you/your child(ren)’s participation in any practice sessions, basketball games or athletic events held at the TEAM 7 DEKALB HEAT, INC.

By signing your name, you are stating that you have fully read, have fully understood and will adhere to the above agreement.

EMERGENCY MEDICAL RELEASE

I do hereby give consent for the medical treatment of myself or my child (ren) by a qualified person in case of an EMERGENCY. I understand that I will be notified as soon as possible should the need for medical treatment is necessary. I also understand that this includes medical treatment deemed necessary by a qualified person for either injury or illness. I also understand that the purpose of this release is to speed up any treatment that may be needed and does not supersede my right to be informed as soon as I can contacted should my child need medical treatment.

Parent/Guardian Name (please print) Parent/Guardian Signature

______

Date Authorized Rep Signature

______

Team 7 Sports Foundation INC, 3904 N Druid Hills Rd. Decatur, GA 30033

Phone: 770-881-6666 Email: