raptorsregistration

2022 Raptors Tryout Registration

* Indicates required field

Player's Name *

First

Last

DOB (mm/dd/yy) *

Players Grade (21-22 School Year) *

9 10 11 12

Will player be attending the optional workout session on Sunday, January 23, 1-3pm? *

Yes No Not Sure

Player's School (21-22 year) *

Parent/Legal Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Has the player played on a AAU Travel team before? *

Yes No

If yes, please indicate the program or team he has played with in the past *

Please list any physical or medical conditions that we should know about (i.e asthma) *

Please use the space below to tell us a little about your player, on or off the court. *

PARTICIPATION IN THIS PROGRAM MAY INVOLVE RISK OF INJURY. AS A PARENT, GUARDIAN OR PARTICIPANT, I AM AWARE OF THESE HAZARDS AND MY CHILD’S ABILITY TO PARTICIPATE. IN CONSIDERATION FOR PARTICIPATION IN THE PROGRAM LISTED ABOVE, I HEREBY FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS WAIVE AND RELEASE ALL RIGHTS AGAINST THE GILFORD YOUTH CENTER, LAKES REGION ELITE, THE GILFORD COMMUNITY CHURCH, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUNTEERS, AND SUPERVISORS, EXCEPT IN THE CASE OF THEIR SOLE NEGLIGENCE, FROM ALL LOSSES, INJURY, DAMAGES, FEES, AND OTHER EXPENSES, ARISING OUT OF OR IN CONNECTION WITH PARTICIPATION IN THE PROGRAM AND ACTIVITIES. IN ADDITION, I GIVE MY PERMISSION FOR THE CHILD TO BE TREATED BY QUALIFIED MEDICAL PERSONNEL IN THE EVENT THAT THE ABOVE NAMED PARENT/GUARDIAN CANNOT BE REACHED AT THE PHONE NUMBERS PROVIDED. AS A PARENT, GUARDIAN OR PARTICIPANT, I ALLOW THE GILFORD YOUTH CENTER TO TAKE MY CHILD’S PICTURE/VIDEO FOR ADVERTISING AND PROMOTIONAL PURPOSES *

I agree to the terms stated above

Your Name *

First

Last

2022 Spring Season Registration

2022 Raptors Tryout Registration