Test 1,2

Athlete's Full Name *

Date of Birth *

School *

Grade Level *

Group 1: 2nd-4th Group 2: 5th–7th Group 3: 8th–12th

Hoop Experience *

T-Shirt Size *

YS YM YL S M L XL

Favorite Team *

Favorite Player *

Parent/Guardian Full Name *

Parent Phone *

Parent Email *

Emergency Contact Name (if different): *

Emergency Contact Phone *

Allergies (if any) *

Medical Conditions *

Medications *

Physician's Name *

Physician's Phone *

Disclaimer
Please read disclaimer. I have read and agree to the Assistherhood Training Waiver and Release of Liability. I understand that participation involves physical activity and assume all risks associated with my child’s participation. I confirm that my child is physically fit to participate, and I release Assistherhood, its coaches, and staff from any liability for injuries or medical issues that may occur.

Media Release Opt-In
I give permission for Assistherhood to photograph and/or video record my child during participation in training, clinics, or events. I understand these images may be used for promotional, educational, or informational purposes in print, online, and social media. I understand no compensation will be provided and my child’s name will not be published without additional consent.

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