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Alabama Cardinals Basketball Club
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ALABAMA CARDINALS REGISTRATION FORM
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Cell Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2
3
4
5
6
7
8
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31
1900
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1907
1908
1909
1910
1911
1912
1913
1914
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1916
1917
1918
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1920
1921
1922
1923
1924
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1926
1927
1928
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1930
1931
1932
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1934
1935
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1937
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1939
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1974
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1983
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1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
*
Email:
*
Gender:
M
F
*
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
*
Height:
4"1
4"2
4-3
4"4
4"5
4"6
4"7
4"8
4"9
4"10
4"11
4"12
5"0
5"1
5"2
5"3
5"4
5"5
5"6
5"7
5"8
5"9
5"10
5"11
5"12
6"0
6"1
6"2
6"3
6"4
6"5
6"6
6"7
6"8
6"9
6"10
6"11
6"12
7"0
7"1
7"2
7"3
7"4
7"5
*
Present School:
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
*
EMail:
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
Phone:
Relationship to Player:
*
Insurance Carrier:
*
Policy #:
Alabama Cardinal Athletic Club Waiver Form
I, being the parent/legal guardian of the above named player, hereby give my approval for her/his participation in any and all Alabama Cardinals Basketball Club activities, including tryouts. I assume all risk and hazards incidental to such participation, including transportation to and from the activities, and I do hereby waive, release, absolve, indemnify and agree to hold harmless the Alabama Cardinals Basketball Club, sponsors, organizers, coaches, supervisors, participants and owners of facilities used by the Alabama Cardinals Basketball Club teams, for any and all claims arising out of injury to the player, except covered under AAU insurance, YBOA insurance or motor vehicle insurance.
I hereby authorize Alabama Cardinal officials, coaches, assistant coaches, team parents, or any other responsible persons to whom I have delegated supervision of the player, to take the player to the nearest hospital or other known medical establishment for emergency treatment in case of injury during practice and/or games, if I am not available. I will assume any and all financial responsibility for such medical care.
I have read, understand and agree to the conditions above.
NO REFUNDS FOR FEES PAID.
Authorized Parent/Guardian: ________________________ ___/___/___
Player: __________________________________________ ___/___/___
WAIVER INFORMATION
I/we agree with the above
*
* indicates required fields