Elevation AAU Registration (Grades 3-8)
PLEASE COMPETE ONE FORM PER FAMILY
* Required
Email address
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Your email
Player Name(s)
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Your answer
Current School Grade
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Your answer
Gender
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Male
Female
Please indicate evaluation clinic you plan to attend. Players may attend any number of sessions. If the remaining tryout date does not work, please email me - Thank You
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Sunday January 17th
Sunday January 31st
Sunday February 21st (Time TBA)
Required
Cost for Spring Tryouts: $25 per player. This one time fee allows players to attend as many of the evaluation clinics as they like. TOTAL FEE: Please fill in on the line below the total fee for your family.
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Your answer
PAYMENT OPTION
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Venmo (@Rick-Kilpatrick)
Mail Check to: Elevation Basketball - 5 B Street - Maynard, MA 01754
No Charge - Apply previous credit from Spring 2020
Name of parent / guardian
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Your answer
Street Address
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Your answer
Town and Zip Code
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Your answer
Home Phone
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Your answer
Parent Cell Phone
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Your answer
I authorize the Director / Coach of Elevation Basketball Academy to act according to his best judgment in any emergency medical situation. Please include note explaining any medical conditions.The participant attending the Clinics, and in using the facility, does so at his/her own risk. The ELEVATION BASKETBALL ACADEMY and its staff shall not be liable for damage arising from personal injury sustained by the participant during the clinics. The participant and his/her parents assume full responsibility for any damages or injuries which may occur and so hereby exonerate the Elevation Basketball, the site location of the clinics and practices, and all employees from any and all claims. Also I/We hereby consent to the participation of our son/daughter in the Elevation Basketball Academy. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) *
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Your answer
COVID-19/ WARNING & DISCLAIMER: Covid-19 is a contagious virus that spreads through person-to-person contact. Federal and state authorities recommend social distancing. Covid-19 can lead to illness, personal injury, disability and possibly death. Participation in this program could increase the possibility of contracting Covid-19. Elevation Basketball Academy in no way warrants that Covid-19 infection will not occur through participation in this program. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) *
Your answer
Photos & Videos: During the course of an event Elevation Basketball Academy may take photos or videos for use on their website and social media accounts. Is this ok?
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YES
NO
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