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On Line Player Tryout Registration Form

- 2023 Fall Tryouts

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Player Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Player Gender (Male/Female) REQUIRED Please fill out this field. Please enter valid data.
- Player Current Grade as of 9-1-2023 REQUIRED Please fill out this field. Please enter valid data.
- School Attending REQUIRED Please fill out this field. Please enter valid data.
- Height REQUIRED Please fill out this field. Please enter valid data.
- Home Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Texas Express Team/Coach Request if applicable- if not input N/A REQUIRED Please fill out this field. Please enter valid data.
- Select Team Played For in 2023/Coach Name- If did not play input N/A REQUIRED Please fill out this field. Please enter valid data.
- Involvement Interest Level with Club
- RISK AND LIABILITY WAIVER (PLEASE READ AND CHECK THE BOX BELOW THAT YOU ARE IN AGREEMENT)
  
  As legal guardian of the registered player, I herby consent to the aforementioned person participating in the Texas Express Basketball Club programs, tryouts, practices, and/or games. I recognize that severe injuries can occur in any activity that is associated with basketball, and understand that it is the express interest of the Texas Express Basketball Club to provide for the safety and protection of my child. In consideration of allowing my child to play for the Texas Express Basketball Club, I hereby forever release the Texas Express Basketball Club, First Baptist Church of Grapevine, Covenant Classical School of Fort Worth, Game on Sports Complex Fort Worth, Legacy Christian School of Frisco, Lewisville MAC, Fieldhouse USA Frisco, Mansfield Fieldhouse USA, Grapevine Fieldhouse USA and/or any other facility used by Texas Express Basketball Club, it's officers, employees, coaches and owners from all liability for any Covid 19 spread and all damages and injuries suffered by my child while under the instruction, supervision, or control of an of the above so mentioned. As legal guardian of the aforementioned person, I hereby agree to individually provide for the possible future medical expenses which may be incurred as a result of any Covid-19 spread or injury to my child sustained while training at, practicing at, competing at, and/or trying out for the Texas Express Basketball Club and/or any of the formentioned facilities or any other facility not listed which could be used by the Texas Express Basketball Club. In case of emergency, I authorize the Texas Express Basketball Club staff to administer first aid to my child and/or take my child to a physician or hospital for further treatment. This acknowledgement of risk and waiver of liability, having been read thoroughly and understood completely, is signed (by checking the box below) voluntarily as to its content and intent.
- I have read and agree with the required risk and waiver of liability. REQUIRED Risk and Waiver of Liability Please fill out this field.
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