Player Registration First Name (Print) Last Name (Print) _______________________ _______________________ Date Of Birth (M/B/Y) Grade: Gender: ___/___/___ _____ M____ F____ School: _________________________ G.P.A ______ Height: ft ___ In____ Have you played organized basketball beore? Yes___ No___ If yes, what type of organization did you play for and for how long (check all that apply): ORGANIZATION LENGTH OF TIME AAU Team Recreational League School Team Neighborhood Other (specify) Requested Jersey# Jersey Size Shorts Size ___/___/___ ___/___ ___/____ Player’s Email Address: Player’s Phone Number: ___________________________ _____________ Parent/Guardian Information Name:___________________________________________ Address: _________________________________________ Email Address:_____________________________________ Telephone Number :___________ Emergency Content name_____________________________ Emergency contact# Relationship_______________________ A copy of your child’s birth certificate and insurance card ore required for their participation ___________________________________ (Player Name) is hereby given my consent to participate in the practices and competitions of the EDGE Bulldogs Basketball organization. I hereby, for myself and child, heirs, executors, and administrator, waive and release any and all rights and claims for damages and competition sites, and tranpaortation providers to and from practices and competitions. By signing below, in case of injury or illness, I grant permission for medical treatment to be administered to my child. Insurance Company: Policy # __________________________ ________________________________ Parent/Guardian Name ________________________________________ Parent Guardian Signature______________________________________ Date Signed ____________________________________ ______ My child has no allergies ______ My child has the follow medications/food List allergies: A copy of your child’s birth certificate and insurance card ore required for their participation