🏀 Player Registration Form | Michigan All-Star Alliance

1. Player Information

Full Name *

Date of birth *

Current Grade: *

School Name: *

🏀 Player Registration Form | Michigan All-Star Alliance

2. Parent/Guardian Information

Parent/Guardian Name(s): *

Primary Phone Number: *

Email Address: *

Secondary Phone Number (Optional):

Address

Street Address

City

State

Country

Postal code

🏀 Player Registration Form | Michigan All-Star Alliance

3. Emergency Contact Information

Emergency Contact Name:

Relationship to Player:

Emergency Contact Phone:

🏀 Player Registration Form | Michigan All-Star Alliance

4. Medical Information

Allergies or Medical Conditions:

Current Medications:

Physician Name:

Physician Phone Number:

🏀 Player Registration Form | Michigan All-Star Alliance

5. Insurance Information

Insurance Provider:

Policy Number:

🏀 Player Registration Form | Michigan All-Star Alliance

6. Additional Information

Player’s Jersey Size:

Preferred Position:

Special Notes:

🏀 Player Registration Form | Michigan All-Star Alliance

7. Consent and Agreement

I, as the parent or legal guardian of the above-named player, give my consent for their participation in Michigan All-Star Alliance activities, including practices, games, and events. I acknowledge the risks associated with athletic participation and agree to release Michigan All-Star Alliance, its coaches, and staff from liability in the event of injury. I also consent to the collection and use of my child's information for team purposes.

Digital Signature: *

Clear

Date: *