2022-2023 F.S.O.D. Basketball Pre-Season Clinic and Tryout Registration
As the parent or guardian completing this registration, your name will serve as certification and signature that all information submitted is true and accurate to the best of your knowledge. Registration will close on Friday, September 25, 2021.

Tryouts are closed for parents/spectators.
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Student Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Student Home Address *
School Attending *
Grade *
How many years have your student-athlete played organized basketball? (Organized is defined as playing for a club, recreation center or team that has competed against other teams.) *
Please check the box of which Pre-Season Clinic session(s) your Star will attend. If attending both, please check both boxes.  *
Required
Please check the box of which Tryout session(s) your Star will attend. If attending both, please check both boxes.  *
Required
Parent/Guardian Name *
Relationship to Student *
Parent Email *
Home Phone Number
Parent Cell Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Student Medical Conditions (if any) *
Future Stars of Dayton and any facilities where clinics, tryouts, practices, or games will be played will assume no liability for injury or damages arising from the results of the above named athletes participation. Due to the strenuous nature of basketball, the athlete participating and their parents are urged to consult their physician concerning the athlete’s fitness to participate. Basketball presents certain inherent risks and hazards, which the participating athlete is urged to consider and which the athlete assumes the outcomes of such risks and hazards. I hereby approve of the participation of my child, the above named athlete, in the Future Stars of Dayton's 2022-2023 basketball clinics, and tryouts and consent to the emergency medical treatment for my child on my behalf. To the best of my knowledge, there are no physical or other conditions which will interfere with my child’s participation. (Your typed NAME and DATE will serve as your consent and signature.) *
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