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


2017- 2018 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: