WTU Spr 2022 Registration
Thank you for registering!

Players will be assessed during drill stations and scrimmages, and should bring their own basketballs.
Players may only remain in the gym during their tryout session.

**ALL PLAYERS AND STAFF MUST WEAR A MASK**

There is a $25 non-refundable registration fee due at the time of tryouts.

Payment Options: cash, check or money order made payable to Worcester Team United.
You may also pay online using our Paypal service. A $25 charge will be applicable for all returned checks.

Tryout Date: January 26th
Location: The Arc Gymnasium - 570 Lincoln St., Worcester MA

Grades 3-4      5:30 - 6:30 p.m.

Grades 5-6      6:30 - 7:30 p.m.

Grades 7-9      7:30 - 8:30 p.m.

Tryout Date: February 5th (new date)
Location: 65 Boys & Girls Club Way, Worcester MA

Grades 3-6   3:00-4:30 p.m.

Grades 7-9   4:30-6:00 p.m.

Tryout Dates: February 17th & 24th
Location: The Arc Gymnasium - 570 Lincoln St., Worcester MA
Grades 10-12   6:30 - 8:00 p.m.

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Email *
Player First Name *
Player Last Name *
Player's Birth Date *
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Player's Current Grade *
Player's Current School *
Player's Cell Phone # (if applicable)
Player's Email Address (if applicable)
Parent/Guardian 1 Name *
Parent/Guardian 1 Address *
City, State, Zip *
Parent/Guardian 1 Phone # *
Parent/Guardian 1 Email Address (please make sure email is typed correctly) *
Parent/Guardian 2 Name
Parent/Guardian 2 Phone #
Parent/Guardian 2 Email Address
Emergency Contact Name & Phone Number (other than guardian above) *
Player Allergies & Medical Conditions
Player T Shirt Size *
Medical and Photo Release/Waiver and Payment Policies
Please acknowledge receipt of the medical and photo release and payment policies.

WTU offers various group and individual  and fitness instruction and league programs. We have read, understand and accept the Medical Authorization and Release Waiver below. We understand that WTU (WTU) cannot assume responsibility for losses, damages or injuries that may occur as a result of participation in this program. We understand that the student athlete and/or parent is responsible for damage done to any WTU property and the cost of repair and/or replacement of that property. In addition to the terms laid out above, I also accept the responsibility of ensuring that my children understand and accept these policies and objectives. To the best of my knowledge, my child is physically fit for participation in this sport, and is neither seeing a physician for any sports injury nor being treated with any medication that may affect his or her performance.
MEDICAL AUTHORIZATION AND RELEASE: WTU urges you and all participants to obtain a physical exam prior to initiating any exercise or sports program. We, guardian(s) for our child named in the form above do hereby release and hold harmless the directors, coaches, medical attendants, and adult leaders of the WTU Program from any and all liability for all losses, damages or injuries occurring as a result of our child’s participation in the program’s activities. We further agree to make or cause to be made, by assignment of third party benefits or otherwise, full and complete payment for examination, treatment or hospital care required in the case of medical emergency. We understand that reasonable precautions will be taken to make the program safe and beneficial for all children, but that risk of injury cannot be eliminated entirely, and that this release is necessary for our child to participate in the WTU Program. Furthermore, we hereby authorize, in the event our child suffers injury, any director, coach, medical attendant, or adult leader of the program to consent to emergency medical treatment for our child when we cannot be contacted to so consent. Such medical treatment may include, without limitation, x-ray examination, anesthetic, medical diagnosis, treatment, or hospital care being required, and is given to provide authority and power on the part of a director or coach of the WTU Program to give specific consent to any and all such examination, treatment, or surgical examination or treatment and general hospital care. No prior determination of life-threatening emergency or danger of serious or permanent injury resulting from delay of treatment need be made under this authorization. This authorization is given in advance of any specific hospital care. I acknowledge that WTU may provide transportation for my child in the event of an emergency. By granting this permission, I also waive any claims, and release and hold harmless, WTU and any of their employees, volunteers, agents, and representatives from any and all liability for all losses, damages or injuries occurring as a result of my child participating in sporting events or other program activities.
PAYMENTS: I understand that I am responsible for all fees associated with signing up for WTU’s program(s), and failure to pay may result in collections activities. I must pay in full all past due balances or current and/or future registration will be canceled. Refund Policy: We understand that all deposits and payments made are non-refundable and not transferable regardless of the circumstances at any time. For medical-related withdrawals through the second week of play, a portion of payments received may be credited toward any future programming less any deposit or registration fee and a $15 administrative fee. There are no exceptions, and appropriate medical documentation must be provided along with the original payment receipt. Credits are good for one year from the date of request. You acknowledge and agree that WTU has the sole discretion to make changes to the type and quantity of programs, session, equipment, or operating hours, provided such changes do not materially diminish the services offered. By providing your phone number and signing this waiver agreement, you consent to and authorize WTU, and/or our agents to call or send you messages regarding class times, account balances, transactions, and promotions or advertising (standard message and data rates apply).
Waiver/Release/Authorization to Use Likeness Names, Voice and Words: By enrolling, the registrant authorizes WTU including without limitation, the Releases hereinabove, in perpetuity, without compensation, reservation, or limitation, to allow the reproduction, dissemination, and/or publication of the registrant’s name, nickname, image, voice, signature, facsimile, biological information, photograph, and/or likeness for media coverage, public relations, or any other purpose whatsoever, which may involve the use of photographs, films, and/or videotape recording and/or any other form of media, whether currently in existence or not, and understand that WTU retains title, exclusive and unlimited rights to all internet streaming files including live and archived games, interviews, and events broadcast to the Internet. WTU is under no obligation to exercise the rights herein granted. The registrant understands and agrees that he/she will not receive any payment for the possible commercial use of his/her name or likeness.
ENTIRE AGREEMENT: You acknowledge and agree to this Agreement and the incorporated rules, practices, or policies and as amended. You understand that WTU, nor any of its past, present or future owners, subsidiaries, assigns or affiliates, or their respective officers, directors, employees or representatives are not responsible for any acts or omissions related to this agreement, goods or services provided to you under this agreement.

We have read understand and accept the Medical and Photo Release/Waiver and Payment Policies above. I certify that I am at least 18 years of age and legally able to agree to these terms. *
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