Please fill out the registration information below.   NOTE: In addition to providing some information about the player/family and completing the waiver, we also ask that you tentatively provide some other information (ex: desired uniform numbers) so that, for players that join a team, we will have a head start on gathering that information (this also helps us expedite the process of scheduling practices and getting uniforms ordered as we don't have much time after tryouts to do all of this!).

Once you complete this form, you will be directed to our online Store where you can pay the tryout fee with a credit card.  Please note that the tryout fee covers participation in all tryout sessions.  Thank You!

Note: Please fill out all of the information below, using BOTH upper and lower case as appropriate (i.e., please do not leave ALL CAPS on when you fill this out). For player and parent first names, please provide just the informal name so the coaches will have that (ex: if the player goes by Chris, please type Chris not Christopher).

Player Information:

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* 1. Player Information:

Parent1 Information

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* 5. Parent1 Information

Parent2 or Other Emergency Contact

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* 6. Parent2 or Other Emergency Contact

If your child is offered a spot on a Blazers team, what level of commitment can you and he/she make to AAU Basketball this coming season?  Please consider the options below carefully - we need to ensure enough commitment on each team so we have a sufficient number of players at each game.  Therefore, players who are fully committed will receive more consideration when offers are made.

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* 7. If your child is offered a spot on a Blazers team, what level of commitment can you and he/she make to AAU Basketball this coming season?  Please consider the options below carefully - we need to ensure enough commitment on each team so we have a sufficient number of players at each game.  Therefore, players who are fully committed will receive more consideration when offers are made.

If you are registering a new player, please specify his/her top 5 uniform numbers (in order of preference). If you are going to include popular numbers like 0, 23, 30, 33, 35, etc. feel free to provide more than 5 options. If none of the numbers you provide are available then we will assign a random number, so feel free to provide as many numbers as you like. Note that you may include options that use the numbers 6-9.

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* 8. If you are registering a new player, please specify his/her top 5 uniform numbers (in order of preference). If you are going to include popular numbers like 0, 23, 30, 33, 35, etc. feel free to provide more than 5 options. If none of the numbers you provide are available then we will assign a random number, so feel free to provide as many numbers as you like. Note that you may include options that use the numbers 6-9.

Name of School Attending (needed for AAU Roster)

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* 9. Name of School Attending (needed for AAU Roster)

Terms and Conditions:
Waiver: As the parent or legal guardian of the participant named above, I hereby give my full consent and approval for my child to participate in the tryout process, and if selected for a team, to join and participate on a team (collectively, the "Program"). I understand that there are certain risks of injury inherent in the practice and play of this sport, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participating in the designated sport and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities, except as listed above. I understand that my medical insurance is expected to cover the cost of my child’s injuries. I grant permission to the coaches or volunteers involved with this Program to seek medical care in the event I cannot be reached. I agree not to hold Alpha Youth Sports, or any of the parties/facilities connected with this Program, responsible for any injury or accident that may occur during the program, whether the result of negligence or any other cause.

Video Release: For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby consent to the photographing of my child and the recording of my child's voice by Alpha Youth Sports, Inc. (“AYS”) during this Program. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage. Provided that AYS does not identify my child's last name, nor town of residence, in these photographs or recordings, I irrevocably consent to the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes, as well as to the reproduction and/or authorization by AYS to reproduce and use said photographs and recordings of my child's voice, for use in all domestic and foreign markets. I hereby release AYS, and any of its associated or affiliated companies, their directors, officers, agents, employees and customers, and appointed advertising agencies or other assigned third parties, their directors, officers, agents and employees from all claims of every kind on account of such use.

Other: I understand that the facilities used in this Program have established usage, behavior and other rules that apply to the participant and the parents, siblings, and others that accompany the participant.  I understand that if my child, or anyone accompanying them to a practice, game, or other event violates a rule or becomes a discipline problem, he/she may be dismissed from the Program, and that no money will be refunded.

Do you acknowledge your understanding and acceptance of these Terms and Conditions?

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* 10. Terms and Conditions:
Waiver: As the parent or legal guardian of the participant named above, I hereby give my full consent and approval for my child to participate in the tryout process, and if selected for a team, to join and participate on a team (collectively, the "Program"). I understand that there are certain risks of injury inherent in the practice and play of this sport, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participating in the designated sport and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities, except as listed above. I understand that my medical insurance is expected to cover the cost of my child’s injuries. I grant permission to the coaches or volunteers involved with this Program to seek medical care in the event I cannot be reached. I agree not to hold Alpha Youth Sports, or any of the parties/facilities connected with this Program, responsible for any injury or accident that may occur during the program, whether the result of negligence or any other cause.

Video Release: For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby consent to the photographing of my child and the recording of my child's voice by Alpha Youth Sports, Inc. (“AYS”) during this Program. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage. Provided that AYS does not identify my child's last name, nor town of residence, in these photographs or recordings, I irrevocably consent to the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes, as well as to the reproduction and/or authorization by AYS to reproduce and use said photographs and recordings of my child's voice, for use in all domestic and foreign markets. I hereby release AYS, and any of its associated or affiliated companies, their directors, officers, agents, employees and customers, and appointed advertising agencies or other assigned third parties, their directors, officers, agents and employees from all claims of every kind on account of such use.

Other: I understand that the facilities used in this Program have established usage, behavior and other rules that apply to the participant and the parents, siblings, and others that accompany the participant.  I understand that if my child, or anyone accompanying them to a practice, game, or other event violates a rule or becomes a discipline problem, he/she may be dismissed from the Program, and that no money will be refunded.

Do you acknowledge your understanding and acceptance of these Terms and Conditions?

Other Comments

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* 11. Other Comments

T