Onyx Basketball Academy and Spring Basketball Teams
Please complete all applicable sections to participate on one of our 2020 Spring/Summer Basketball Teams and/or the Basketball Skills Training Academy. Times and locations will be determined after March 1st, 2020. All training and practices will be located in a Montgomery County Public School gym.
Email address *
Players Last Name, First Name *
Your answer
Current Address *
Your answer
Female/Male *
Players Age (as of today) *
Your answer
Participants Birthday *
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Participants Grade *
Your answer
Participants Cell # (Middle and High School Only) *
Your answer
Participants Email Address (Middle and High School Only) *
Your answer
Participant School *
Your answer
Did participant play on school team? (Middle/High School Only)? *
Did you participate in the City Of Rockville Winter Basketball League (if yes, please enter team name). *
Your answer
Spring Basketball Program Selection (select all that apply) *
Required
Basketball Experience (check 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
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, player 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 *
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A copy of your responses will be emailed to the address you provided.
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