Thomas
Johnson Middle School
Mid-Maryland
Basketball Teams
Tryout
- Registration Form
(Boys/Girls
Basketball Teams &
Cheerleaders)
A
New Generation of Coaches for
the next Generation of Student Athletes
2014-
2015 Team Tryouts Registration Form
First
& Last Name
Address :
City:
State:
Zip:
Home
Phone
Cell Phone
Birth
Date:
Current Grade:
T-Shirt Size (Adult S, M, L, XL, XXL)
Email
Address
School
Returning
Player\Cheerleader: YES
NO (If
yes, please indicate which team below)
TJMS
Mid-MD Boys:
JV
Varsity
TJMS Mid-MD Girls Team: JV
Varsity
TJMS Mid-MD Cheerleader JV
Varsity
MYBA Boys:
12U Boys 14U
Boys
Medical
Problems - Special
Notes
Medical
Release & Registration Agreement
The
undersigned, parent/legal guardian of the player requesting league
admittance, does hereby affirm that the applicant is in good health and
suffers from no illness, disability, or condition that requires the
taking of medication on regular basis unless that condition is disclosed
and approved. Furthermore, the undersigned has no knowledge of any
reason the applicant cannot participate in vigorous physical activity.
The undersigned hereby expressly agrees to be responsible for any
medical bills incurred in the treatment of any illness or accident. In
the event of any such accident or injury, I hereby consent to allowing
any of the league supervisors to procure any medical treatment deemed
advisable on behalf of my child or ward without prior consent. I
understand that, as a condition of admittance as a league participant,
the undersigned, on behalf of all parents and guardians, and behalf of
the applicant, hereby release Basketball Coaches Without Boundaries and
all other employees or agents of the league from any and all liability
in regards to injury or illness, either mental or physical suffered by
the league participant during or related to the league by the person or
entity against which the claim is made.
I have read the above and agree to the league conditions: