Bigger Than Basketball 2021 - Registration Form
(No Excuses....)
BiggerThanBasketballNC.com
Athlete Information
Player Name*
First Name Last Name
Uniform Number*
Uniform Number
Uniform Jersey Size*
Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
Uniform Shorts Size*
Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
Guardian / Parents Names*
First Name Last Name
Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Home Phone*
Area Code Phone Number
Cell Phone
Area Code Phone Number
E-mail*
Instagram/MaxPrepreps/ Hudl link.
Interested in Volunteering while your child is not playing?
Video ScoreKeeper ScoreBoard Sanitation Team Parent
Athlete Commitment
Each player agrees to adhere and uphold the core values of Bigger Than Basketball to the best of their abilites.
Core Values:
Honesty: All staff, players, and parents strive to maintain integrity and get straight to the point when addressing problems
Others First: We must always be considerate of others. No individual is bigger than the team.
Passion: All staff, players, and parents take pride in their roles. We enjoy what we do, have fun, and push others to get better.
Effort: All staff, players, and parents give their all in everything they do. We keep a positive mindset, play with heart, and make
Signature*
Signature of Player Clear
Athlete Documentation
Please submit your child's birth certificate and report card.
Please Upload or Take a Photo of your Child's Birth Certificate
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Please Upload or Take a Photo of your Child's Report Card
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Emergency Contact & Health Insurance Information
Emergency Contact's Name*
First Name Last Name
Relationship*
Phone Number*
Area Code Phone Number
Do you have health insurance ?
Yes No
Insurance Carrier
Name of Policy Holder
Subscriver ID/Group Number
Card Number / Card Date
Does you have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*
Yes No
Please describe*
Parental Permission For Emergency Treatment
In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the Bigger Than Basketball Coaching Staff to take my child to:
I give consent for the facility to secure any and all necessary emergency medical care for my child.
Name of Physician / Emergency Medical Care Facility
Address
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code
Phone Number
Area Code Phone Number
Release of Liability
I recognize that there are certain
inherent risks associated with the above described activity and I assume full responsibility for
personal injury to myself and (if applicable) my family members, and further release and discharge
Bigger Than Basketball for injury, loss or damage arising out of my or my family's use of or
presence upon the facilities of Bigger Than Basketball, whether caused by the fault of myself, my
family, Bigger Than Basketball or other third parties.
I have read and agree to the above conditions*
Yes No
Confirmation E-mail*
Signature*
Clear
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at BiggerThanBasketballNC.com
Registration Deposit
A registration deposit of $200.00 will be due upon completing this form to confirm your child's spot for this season. Please complete the steps below.
Deposit Options
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Bigger Than Basketball Team Deposit$200.00
This option is for families that wish to pay the 200 dollar deposit then begin monthly installments. We will begin the 175.00 monthly ACH draft on March 1st or 15th.Please note our sibling discount is 20% off each additional sibling.

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Bigger Than Basketball Full Registration$1,600.00
This option is for families that wish to pay the entire registration fee up front. Please note our sibling discount is 20% off each additional sibling.

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Credit Card
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Athlete Commitment

Athlete Documentation

Release of Liability

Registration Deposit

Credit Card