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FIRST NAME *	LAST NAME *	AGE	BIRTHDATE	HEIGHT	WEIGHT	JERSEY SIZE	POSITION
STREET ADDRESS			CITY			STATE	ZIP CODE
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PHONE NUMBER *		ALTERNATE PHONE NUMBER			EMAIL ADDRESS *
MOST RECENT TEAM ~ YEAR			BASKETBALL ABILITY REFERENCE: NAME & CONTACT NUMBER
BASKETBALL CAREER HIGHLIGHTS AND/OR STATS
TEAMMATE REQUEST(S) - No guarantees - Teams formed based on draft in late June (Date TBA) - Only two NCAA Division I teammates allowed per team

WAIVER & GENERAL RELEASE
In consideration of the acceptance of this application for the Triad Hoops Academy Pro-Am Summer League, I, intending to be legally bound, hereby for myself, my heirs, executors and administrators waive and release any and all rights and claims for damages which I may have against Forsyth Country Day School, the Triad Hoops Academy or its representatives and / or assignees, for any and all damages which may be sustained and suffered by me in connection with my association with any portion of this league or any related activities, and which may arise out of my traveling to or returning from this league. I know of no medical or physical problems which may affect my ability to safely participate in this league. I authorize the directors and staff to act in their best judgement in any emergency requiring medical attention.

Type your name below to indicate that you have read and accepted the terms above *
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