VALLEJO KNIGHTS BASKETBALL ACADEMY

Player Application

    INSTRUCTIONS:  PLEASE PRINT LEGIBLY.  Along with this application, please include the following:

    1.  A Copy of The Player's Birth Certificate.

    2.  Signed & Dated Emergency-Medical Release Form (the form can be found under the "Registration" tab)

    3.  Singed & Dated Player's Code of Ethics (the form can be found under the "Code of Conduct" tab)

    4.  Signed & Dated Parent's Code of Ethics (the form can be found under the "Code of Conduct" tab)

Last Name

First Name

Middel Initial

Address

Birthdate

          /          /

City

State

Zip Code

UNIFORM SIZE (please circle one):

                   Adult Small          Adult Medium          Adult Large          Adult X-Large

Shoe Size

PARENT(S) / GUARDIAN(S) INFORMATION BELOW:

Last Name

  First Name

Address

City

State

Zip Code

Home Phone

Work Phone

Cellular Phone

email address

Below list any medical conditions that we should be aware of while your child is participating in basketball pradtices 

and  AAU Tournaments (for example: asthma, heart murmur, etc.).  Write N.A. for no medical conditions.

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I am authorizing my son/daughter to participate in the AAU basketball league.  I am releasing the "VALLEJO KNIGHTS

BASKETBALL ACADEMY" of any, and all liability for any injuries or damages that may occur while practicing, being

transported to/from practice/tournament, and playing in any basketball games.  I also release liability during any

fundraising or social events that may occur.

Parent(s)/Guardian(s) Signature ________________________________________________________________

Date_______________________________________