Summer Basketball Sign-up
Fill this form out for EACH player you would like to sign-up to participate in Aggieland Homeschool Basketball summer activities. Enter a parent's email at the beginning to be added to our email list for summer announcements.
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Email *
Player's Last Name *
Player's First Name *
Player's Gender *
Player's Age as of Sept 1, 2022 *
Player's Birth Date *
MM
/
DD
/
YYYY
Player's Predominant Grade Level in 2022-23 *
Player's Email Address
Do you wish to receive AHA-B emails at this address?
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Player's Cell
###-###-####
Do you wish to receive AHA-B text messages on this phone?
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Does the player have any allergies or medical conditions we need to know about?
Do you have anything else to tell us regarding your player's registration to participate in Aggieland Basketball's summer activities?
Consent to Treat and Waiver/Release
As parent/legal guardian of the child(ren) named herein, I hereby give permission to Aggieland Homeschool Athletics Basketball, its officers, agents, trainers, coaches or volunteers to take whatever action is necessary for the health and welfare of my child, including consenting on my behalf to any and all medical treatments, procedures, operations and/or hospitalizations.

I further agree to indemnify and hold harmless Aggieland Homeschool Athletics, AHA Basketball, as well as its officers, agents, trainers, coaches, or volunteers from any and all liability, damage, or expense arising out of my child’s participation in any AHA Basketball activity.

In consideration of being allowed to participate on behalf of Aggieland Homeschool Athletics sports programs and related events and activities, I agree that:
1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Aggieland Homeschool Athletics, their officers, agents, employees, members, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I understand there are inherent risks to participating in this athletic program. I hereby accept responsibility for and agree to pay any and all costs of medical treatment resulting from any injury suffered by my child as a result of his/her participation in the AHA Basketball Program.

My consent to treat and release is valid until August 31, 2022.

A parent or legal guardian must sign below indicating agreement to the above Consent to Treat and Waiver/Release statement before the player is accepted to participate in AHA Basketball activities. *
Your typed name will act as your signature.
A copy of your responses will be emailed to the address you provided.
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