Team Onyx "2019" Fall Basketball Registration
Please complete all applicable sections to participate in our 2019 Fall Basketball Events. You will receive a link for online payments after your registration is complete. (Early registration discount applies to "Back to School Skills Training ONLY".
Email address *
Athletes Last Name, First Name *
Your answer
Current Address *
Your answer
Female/Male *
Athletes Age (as of today) *
Your answer
Athlete's Birth Date *
mm/dd/yyyy
MM
/
DD
/
YYYY
Athlete's Grade in the Fall of 2019 *
Your answer
Athlete's Cell Number *
Your answer
Athlete's Email Address *
Your answer
Athlete's School *
Your answer
Participation *
Required
Basketball Experience (check all that apply) *
Required
Fall Basketball Program Selection (select all that apply) *
Required
Parents/Guardian *
Include Mother and Father if Applicable
Your answer
Parent's Contact Number (include both if applicable) *
Your answer
Parents Email Address(s) *
Your answer
Are you interested in head coaching or assistant coaching? *
In Case of Emergency Please Contact *
Include name and contact number other than parent.
Your answer
Parents Please Read and Insert Your Name in Acceptance of the Maryland Onyx Elite Hoops and Team Onyx "Waiver of Liability" *
Parents: Lady Champions Youth Athletic Club, Lady Onyx, Maryland Onyx Elite Hoops, team Onyx and any facilities where the games/tryouts or clinics are held, played or practiced assumes no liability for injury or damages arising from the results of participation unless due to willful fault or gross negligence on the part of Lady Champions Youth Athletic Club, Lady Onyx, Maryland Onyx Elite Hoops, and Team Onyx. Due to the nature of basketball, the participants parent(s) is/(are) urged to consult his/her physician concerning his/her child's fitness condition to participate. Basketball presents certain inherent risks and hazards, which the participant and his/her parent or legal guardian is/are, urged to consider, and which the parent(s) assumes. Parents please read and indicate your agreement to the above and below statements by completing all sections and signing below: I hereby approve my child's participation in the Lady Champions Youth Athletic Club, Lady Onyx, Maryland Onyx Elite Hoops, Team Onyx Sports and consent to emergency medical treatment for my child on my behalf. To the best of my knowledge, there are no physical or other conditions which will cause a re-injured injury or interfere with my child's participation.
Your answer
Current Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy