Tryouts will be at North High School
140 Harrington Way
Worcester, MA 01604
Gym is located in the back of the parking lot.
Players must bring their own basketballs.
Players are only allowed in the gym during tryouts.
Tryouts will consist of drill stations.
There is a $25 non-refundable fee due at the time of tryouts.
You may pay in cash, check or money order made payable to Worcester Team United.
You may also pay online using our Paypal service.
A $25 charge will be applicable for all returned checks.
Monday, August 23rd and Wednesday, September 8th
Grades 3-7 6:00 - 7:30 p.m.
Grades 8-11 7:30 - 9:00 p.m.
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Player's Birth Date
Player's Current Grade
Player's Current School
Player's Cell Phone # (if applicable)
Player's Email Address (if applicable)
Parent/Guardian 1 Name
Parent/Guardian 1 Address
Parent/Guardian 1 Phone #
Parent/Guardian 1 Email Address (please make sure email is typed correctly)
Parent/Guardian 2 Name
Parent/Guardian 2 Phone #
Parent/Guardian 2 Email Address
Emergency Contact Name & # (other than guardian above)
Player Allergies & Medical Conditions
Player T Shirt Size
We understand that Worcester Team United (WTU) cannot assume responsibility for losses, damages or injuries which may occur as a result of participation in this program. We understand that the student athlete and/or parent is responsible for damage done to any WTU property and the cost of repair and/or replacement of that property. In addition to the terms laid out above, I also accept the responsibility of insuring that my children understand and accept these policies and objectives. To the best of my knowledge, my child is physically fit for participation in this sport, and is neither seeing a physician for any sports injury nor being treated with any medication that may affect his or her performance.
MEDICAL AUTHORIZATION AND RELEASE: We, guardian(s) for our child named in the form above do hereby release and hold harmless the directors, coaches, medical attendants, and adult leaders of the WTU Sports Program from any and all liability for all losses, damages or injuries occurring as a result of our child’s participation in the program’s activities. We further agree to make or cause to be made, by assignment of third party benefits or otherwise, full and complete payment for examination, treatment or hospital care required in the case of medical emergency. We understand that reasonable precautions will be taken to make the program safe and beneficial for all children, but that risk of injury cannot be eliminated entirely, and that this release is necessary for our child to participate in the WTU Sports Program. Furthermore, we hereby authorize, in the event our child suffers injury, any director, coach, medical attendant, or adult leader of the WTU Sports Program to consent to emergency medical treatment for our child when we cannot be contacted to so consent. Such medical treatment may include, without limitation, x-ray examination, anesthetic, medical diagnosis, treatment, or hospital care being required, and is given to provide authority and power on the part of a director or coach of the WTU Sports Program to give specific consent to any and all such examination, treatment, or surgical examination or treatment and general hospital care. No prior determination of life-threatening emergency or danger of serious or permanent injury resulting from delay of treatment need be made under this authorization. This authorization is given in advance of any specific hospital care..
We have read understand and accept the Medical Authorization and Release Waiver above. I certify that I am at least 18 years of age and legally able to agree to these terms.
Waiver/Release/Authorization to Use Likeness Names, Voice and Words: By submitting a membership application to WTU, the applicant authorizes WTU including without limitation, the Releases hereinabove, in perpetuity, without compensation, reservation, or limitation, to allow the reproduction, dissemination, and/or publication of the applicant’s name, nickname, image, voice, signature, facsimile, biological information, photograph, and/or likeness for media coverage, public relations, or any other purpose whatsoever, which may involve the use of photographs, films, and/or videotape recording and/or any other form of media, whether currently in existence or not, and understand that WTU retains title, exclusive and unlimited rights to all internet streaming files including live and archived games, interviews, and events broadcast to the Internet. WTU is under no obligation to exercise the rights herein granted. The applicant understands and agrees that he/she will not receive any payment for the possible commercial use of his/her name or likeness.
We have read understand and accept the Waiver/Authorization/Release above. I certify that I am at least 18 years of age and legally able to agree to these terms.
Please verify that all questions are properly answered and hit submit. We look forward to seeing you at tryouts. MAKE SURE TO PRESS SUBMIT AFTER COMPLETING THE REGISTRATION
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