Player "Intent to Play" for PENINSULA PANTHERS AAU Basketball
Please fill out all pertinent information
Sign in to Google to save your progress. Learn more
Email *
Season *
Required
Player Date of Birth *
Player Name *
Player Gender *
School *
Grade *
Player Jersey Size *
Player Short Size *
Required
Jersey Number (Pick three numbers in order of importance) *
Parent 1 Name *
Parent 1 Cell Number *
Parent 1 Email *
Parent 2 Name
Parent 2 Cell Number
Parent 2 Email
Player Mailing Address with Zip Code *
Player Past Basketball Experience *
Required
Players last team played for
Select what work days would work best for your child to practice? (based on your their current scholastic and sports schedule), we will try to do our best to accommodate all requests *
Required
What other extra circular activities does your child do that might conflict with Basketball Practice and Tournaments *
PHOTO & MEDIA RELEASE 

I hereby grant TAG SPORTS CLUB LLC and PENINSULA PANTHERS (AKA: TAG), its representatives and employees, or anyone authorized by , permission to use my likeness and/or the likeness of my child(ren) in a photograph in any and all illustrations, advertising, publications, including website entries, without payment or any other consideration. I understand and agree that these materials, including all negatives and positives, together with the prints, will become the property of TAG and will not be returned. I hereby irrevocably authorize TAG, its representatives and employees, or anyone authorized by TAG, to edit, alter, copy, exhibit, publish or distribute this photograph for the purposes of publicizing TAG programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness or the likeness of my child(ren) appears.

 

ACKNOWLEDGEMENT & RELEASE

I realize that participation in basketball could result in serious injury and I do hereby waive, release, absolve, indemnify, and agree to hold harmless TAG SPORTS CLUB LLC and Peninsula Panthers Basketball Club Program, coaches, organizers, sponsors, supervisors, and other participants from any claim arising out of any injury to my child whether the result of negligence or for any other cause. In case of an emergency during this TAG SPORTS CLUB LLC and Peninsula Panthers Basketball Club Program, I authorize emergency medical treatment, as deemed necessary, to be rendered to the above child in my absence. I authorize any hospital and/or physician to perform emergency medical treatment for any injury resulting from a TAG SPORTS CLUB LLC and Peninsula Panthers Basketball Club activity.

SCHEDULING REQUESTS ARE NOT GUARANTEED

SORRY, NO REFUNDS

Acknowledgement required:

 *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms