HURRICANES BASKETBALL | Building the HEART & CHARACTER of a CHAMPION

Skills / Skills & SAQ Registration Form

Skills participants DO NOT need to tryout.

(Note: If you are interested in trying out for a team, fill out the Team Registration Form)

Athlete's First Name:
Athlete's Last Name:
Athlete's Date of Birth: Month:
Day:
Year:
Athlete's School:
Athlete's Grade:
Athlete's Gender:
Athlete's T-shirt Size:

Please select the Skill you wish to participate in. SKILLS:

Home Address:
City:
State:
Zip Code:
xxx-xxx-xxxx Home Phone:

Parent/Guardian First Name:
Parent/Guardian Last Name:
xxx-xxx-xxxx Cell Phone:
E-mail:

Parent/Guardian First Name:
Parent/Guardian Last Name:
xxx-xxx-xxxx Cell Phone:
E-mail:

Please let us know of any other competitive basketball teams your child plays for:

Waiver / Parent Consent / Injury Release:

I grant permission for my child (named above on this form) to participate in the Hurricanes Basketball Skills and SAQ. I recognize the possibility of physical injury associated with participation and hereby release, discharge and otherwise indemnify The Hurricane Basketball staff and contractors, Hurricanes Basketball, LLC, its practice facilities, and their employees, administrators and contractors.

Website / Marketing / Social Media Release:

I understand my child's picture will be taken during Skills and SAQ activities to assist the coaches in placement. I give my permission for my child's picture to be taken for this purpose.

I also grant the use of pictures of my child that may be taken during the games, practices, or other Hurricane activities to be used on the Hurricanes Basketball website, social media, and marketing materials.

Permission Granted:

Electronic Signature of Parent/Guardian granting permission,

Type your name:

www.hurricanesbasketball.org :: maryann@hurricanesbasketball.org

Verification Code: Hurricanes
Enter Verification Code:

www.hurricanesbasketball.org :: maryann@hurricanesbasketball.org