Connecticut Wave

AAU Basketball

Name

2012 Tryout Form

Full Address:

Zip

State

City

Birth Date:

School attending:

List any medical condition we should be aware of:

Parents/Guardian:

E-mail:

Work Phone:

Home Phone:

Grade:

Did you play AAU basketball last year?

Which Team?:

If you are submitting this form on-line, you must still mail payment to the address shown below to complete your registration.

MAIL TO:

The Connecticut Wave

Attn: Mike Alves

37 Maplewood Dr

Ellington, CT 06029

Insurance Policy Carrier and policy #

Waiver

I hereby waive and release the CT Wave and AAU from any and all liability for injury, illness, and hardship that occur during tryouts.  I assume responsibility for any and all risks associated with trying out. I know that serious injury may occur from this tryout and I have included my insurance policy number with this tryout application.  All claims will be handled by my primary insurance coverage.

Note:

You must sign-in your child at our first tryout date prior to participating in any part of the tryout

Gender

The Connecticut Wave is the fastest growing AAU Club in Connecticut.  Our Spring tryouts for the remaining spots for the 2012 season will be held on (DATE & TIME CHANGE) Sunday February 26th 2:00am -4:00pm at Nomads Adventure Quest The fee is a non-refundable $25 and must be received prior to the tryout. We currently need a couple spots for our 5th, 8th & 11th Grade teams.

5th & 6th Grade 2 - 4:00pm Court 1

8th & 9th Grade 2 - 4:00pm Court 2

                                                        

Thanks,

Mike Alves

Connecticut Wave President

GirlBoy

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