Which program do you want to tryout/trial? *

Skills Academy

Friday Night Hoops

Youth Club

HS Club

PLAYER INFORMATION

Player's First Name *

Player's Middle Name

* Optional

Player's Last Name *

Player's Date of Birth *

Player's 2024-2025 Academic Grade Year *

Gender *

Male

Female

PARENT CONTACT INFORMATION‎ ‎

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email *

Parent/Guardian Phone Number *

PLAYER'S BACKGROUND

What experience does your athlete have with basketball? Please share previous teams or leagues he/she has participated in? *

What are you looking for in a program and what is your ultimate goal for your child?: *

What school does your child currently attend?: *

Instagram handle

(for game highlights and features)

Who can we thank for referring you to UYP Basketball? *

WAIVER

I, the parent/guardian/participant, in registering with Up Your Performance Basketball, understand that he/she in attending the event for Up Your Performance Basketball and using the facilities does so at his/her own risk. I acknowledge that I am aware of the risks inherent in participating in basketball; both practice and competition; that basketball is a physical sport, which can require considerable running and physical exertion; and responsibility for all injuries and damages, which may occur in or at any Up Your Performance Basketball event. He/she/I do or does hereby fully and forever release, discharge and hold harmless The Momentous Sports Center, Up Your Performance Basketball, Carlos Jimenez, organizers, employees, sponsors, and agents from any and all claims, damages, rights of action, property loss, present or future resulting from or arising out of any person’s participation. In addition, he/she/I agree(s) to follow rules of play and conduct set by Up Your Performance Basketball and the gym sites. He/she/I understand(s) that failure to do so may result in suspension from participation. Up Your Performance Basketball has a NO Refund Policy.

Parent Signature

I/We have read, understand and agree to comply with the Waiver as outlined above.

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