Mass Miracles Basketball Club Registration Form
2008 Season

Please provide the information requested below. Bring this with you to your respective tryout. Please wear a white T-shirt to tryouts. Parents please indicate if you are willing to assist program as a Coach, Scorekeeper or Time keeper.

Player Name:

Date of Birth:

Playing Experience:

School & Grade:

Parent Name(s):

Complete Address:

Home Phone Number:

Cell Phone Number:

Player Email Address:

Parent Email Address:

Player Cost:

$25 registration/tryout fee.

$650 if selected for a 16U or 12U team as a new player for spring season (assumes player is purchasing all club apparel).

$400 if selected for a 16U or 12U team as a returning player for spring season.

Registration: Held for the first 30 minutes of each tryout session.

Mass Miracles Basketball Club tryout schedule for the spring season will be posted on our the Current News tab of our website www.massmiracles.com as facilities, times and dates become available. 





Mass Miracles Basketball Club

Waiver of General Liability and Secondary Medical Insurance


By my signature affixed below, I do hereby give permission for my daughter, _________________, to participate in basketball tryouts. I understand that neither the practice facility, the Mass Miracles Basketball Club nor any of its sponsoring members/coaches/volunteers will assume any liability for any injury my child sustains while participating in these tryouts.

________________
Parent or Guardian



Authorization to have child’s name, town and statistics posted on team Website



By my signature affixed below, I do hereby give permission for my daughter, _________________ name, and town and performance statistics to be posted on the Mass Miracle team’s official website upon making a Mass Miracles Basketball Club team.

________________
Parent or Guardian