Player’s Name *

First Name

Last Name

Player’s DOB *

MM

DD

YYYY

Relevant Medical Conditions? *

Such as asthma, allergies, etc.

Yes

No

Parent/Guardian’s Name *

First Name

Last Name

Phone *

(###)

###

####

Emergency Contact *

First Name

Last Name

Phone *

(###)

###

####

Emergency Contact

First Name

Last Name

Phone

(###)

###

####

Participation Waiver & Release *

I, the parent/guardian of __________________________ (player), understand that participation in basketball tryouts involves physical activity and carries a risk of injury. I voluntarily assume all risks related to my child’s participation. I release and hold harmless the Cincinnati Saints Basketball Club, its coaches, volunteers, and facility owners from any liability for injury or damages except in cases of gross negligence or willful misconduct. In case of emergency, I authorize medical treatment for my child and accept financial responsibility for any costs incurred.

I give permission

I do NOT give permission

Photo/Video Consent *

I understand that photos and/or videos of players may be taken during tryouts and related activities.

I give permission

I do NOT give permission

Today’s Date *

MM

DD

YYYY