MoCo Warriors Basketball Organization

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Try-out Form

* Player's First Name:

* Player's Last Name:

* D.O.B.:

* Gender:

* Current Grade:

Height:

Weight:

* Parent's Name:

* Parent Type:

* Email Address:

* Contact Phone:

* Parent's Cell Number:

Brief Description of Chidls Athletic Background:

* How did you hear about us?:

* Does your child have any medical issues or concerns:

I hereby grant permission for my child to attend the Montgomery County Warriors Basketball Organization Tryouts that has been signed scheduled by the accordingly. I understand that I am responsible for my child's insurance in case of injury. Furthermore, I understand that although safety precautions will be observed, Montgomery County Warriors (MoCo Warriors), their employees, coaches, and agents will not be responsible for any personal lost by my child or for any injury sustained in the program. I also consent to MOCO Warriors, for the use of any photographs, CDs and video made of the program.

Their is no guarantee that your player will be accepted to a team. Any team assignment and tournaments is at the full decisions of the organization!

MoCo Warriors Basketball Association and its affiliates, coaches, and organizers do not assume any liability for injury or damages arising from participation in our program. Due to the strenuous nature of the activity, MoCo Warriors Basketball encourages each participate to consult his or her physician concerning fitness to participate in the program.

A fee schedule will be submitted once the budget is completed. Fee schedules will not include additional tournaments that are added on an optional basis.

By signing this form the parent or guardian approves of their child's participation. In addition the parent or guardian assumes all liability for injury or damages during their child's participation in the program.

* E-mail:

* Electronic Initials Signature:

Signature:

Date:

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Try-out Form