Elevation Tryout Registration

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PLEASE COMPETE ONE FORM PER CHILD

Email *

Child's First Name *

Child's Last Name *

School your child will attend this Fall *

Child's school grade *

Gender *

Male

Female

Please indicate the tryout(s) your child will attend. Players may attend any number of sessions. If the tryout dates do not work, please email me - Thank You *

Monday August 23rd

Sunday August 29th

(MAKE-UP TRYOUT) Tuesday August 31st

Required

The cost for tryouts: $25 per player. This one time fee allows players to attend as many of the tryouts as they like. PAYMENT OPTION *

Venmo (@Rick-Kilpatrick)

Pay at the door (cash or check only)

Name of parent / guardian *

Street Address *

Town AND Zip Code *

Home Phone *

Parent(s) Cell Phone(s) *

I authorize the Director / Coach of Elevation Basketball Academy to act according to his best judgment in any emergency medical situation. Please include note explaining any medical conditions.The participant attending the Clinics, and in using the facility, does so at his/her own risk. The ELEVATION BASKETBALL ACADEMY and its staff shall not be liable for damage arising from personal injury sustained by the participant during the clinics. The participant and his/her parents assume full responsibility for any damages or injuries which may occur and so hereby exonerate the Elevation Basketball, the site location of the clinics and practices, and all employees from any and all claims. Also I/We hereby consent to the participation of our son/daughter in the Elevation Basketball Academy. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) * *

COVID-19/ WARNING & DISCLAIMER: Covid-19 is a contagious virus that spreads through person-to-person contact. Federal and state authorities recommend social distancing. Covid-19 can lead to illness, personal injury, disability and possibly death. Participation in this program could increase the possibility of contracting Covid-19. Elevation Basketball Academy in no way warrants that Covid-19 infection will not occur through participation in this program. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) *

Photos & Videos: During the course of an event Elevation Basketball Academy may take photos or videos for use on their website and social media accounts. Is this ok? *

YES

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