D.R.E.A.M. Basketball AAU Registration

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Event Timing: January 25th
Event Address: 816 Climax Street, Pittsburgh, PA 15210
Contact us at (412) 904-4888 or dreambb@agivingheart.org

Athlete's First and Last Name *

Date of Birth *

YYYY

Grade *

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

School *

Home Address *

City, State, Zip *

Home Phone *

Child's Height *

Child's Weight *

Medical Conditions *

Mother's First and Last Name *

Father's First and Last Name *

Mother's Cell Phone Number *

Father's Cell Phone Number *

Mother's Email Address *

Father's Email Address *

What days will you attend? *

January 25th Ages 8-10 from 11am-1pm

January 25th Ages 11-13 from 1pm - 3pm

January 26th Age 14-17 from 3pm - 5pm

February 8th Age 8-10 from 11am-1pm

February 8th Age 8-10 from 1pm-3pm

February 9th Age 14-17 from 3pm - 5pm

Required

Waiver - DREAM BASKETBALL, and any facilities where tryouts, practices, or games will be played will assume no liability for injury or damages arising from the results of the above named Athlete's participation unless due to the willful misconduct or gross negligence on the part of DREAM Basketball, its affiliates, or agents. Due to the strenuous nature of basketball, the Athlete's 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. I hereby approve the participation of my child, the above named Athlete, in the DREAM Basketball tryout program 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 that will interfere with my child's participation. Parent's full name below. *

Tryout rules

1. I understand that all athletes must live in The Western Pennsylvania AAU Region, which includes Pittsburgh.
2. I understand that all Athlete's must tryout and play in their birth year or play up in birth year.
3. I understand that Athlete's trying out are eligible for the A or National Level team but may not make that team.
4. I understand that Athlete's may not make one of the AAU Club teams and will be offered membership in one of the DREAM Basketball Skillz Player Development Programs.

I understand that I will have to pay $25 upon arrival *

Yes

paypal.me/AGivingHeart816

Required

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