Email:
Player's Last Name:
Player's First Name:
Player's Height:
Player's Weight:
Player's DOB:
Player's Age:
Current School Attending:
Player's School Grade:
Playing Experience:
Parent/Guardian Name:
Parent's Primary Email:
Parent's Primary Phone:
Emergency Contact:
Full Address:
ZIP Code:
Does player have any medical conditions, and/or suffered any injuries that may inhibit your ability to play basketball?
Does player have any active fitness gym memberships? Please list them.
What are players' goals and expectations for playing in our academy? * Is this just recreational activity? Does player want to play for school team? Seeking high level competition? Want to join competitive travel team?
I UNDERSTAND THAT A REGISTRATION FEE AND TEAM UNIFORM FEE IS ALSO REQUIRED TO PLAY COMPETITIVELY FOR A TEAM.
I UNDERSTAND AND WILL COMPLY
By submitting this form, I hereby waive all liability of Flight Basketball, LLC, the Florida Basketball Association, Inc., and all employees, agents, board members, and staff for said companies of any accident, injury (including death), illness, or other mishap which might befall me while traveling to, from or during participation in Florida Flight Basketball Academy. Further, I hereby grant permission to the staff of the Florida Flight and any hospital staff to render any emergency medical services deemed necessary. I understand that all possible efforts will be made to inform me and my emergency contact in any case of such treatment. I also understand that Flight Basketball, LLC retains the right to all photography and video taken of Florida Flight Basketball Academy events, and is lawfully privileged to use, for publicity and advertising purposes, any and all media created of any and all participants participating in the Florida Flight Basketball Academy. Further, by typing my name below, I acknowledge and request that my typed name and submission of this document be accepted as my authorized digital signature, confirming that I have read and understand, agree to, and fully submit myself to the waiver indemnification listed in this form. * Players MUST SIGN their first, middle and last name.
