Student' Athlete's Full Name
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First Name
Last Name
Select Form
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HS Elite Travel Ball
Spring League Tryouts
Both
For Spring League, select one:
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Age
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Date of Birth
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Student-Athlete's Cell Phone
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Grade in 2024
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8th
9th
10th
11th
12th
Current School/College
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Juniors/Seniors only: College entrance exam(s)
Parent/Guardian 1
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Parent/Guardian 1 Cell
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Parent/Guardian 2
Parent/Guardian 2 Cell
Emergency contact name & cell
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Student-athlete: list any pre-existing injuries that you are currently treating
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Student-Athlete: do you have respiratory issues
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Describe your respiratory issues
Parent/legal guardian: list any family illnesses that could possible impact future participation
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You have the right to workout/tryout/practice in or at a safe, clean, and welcoming environment. Social distancing will be used whenever possible. If, at any time, you feel uncomfortable, please let a coach know. To prevent the spread of COVID-19 and reduce the potential risk of exposure, your honest answers to this portion is crucial! One parent or legal guardian will be allowed to attend this tryout, however, future attendance will be modified based on the coaching staff, location, venue, and protocol requirements. TO REDUCE RESPIRATORY DROPLETS, DO NOT SCREAM, YELL, CHEER, OR COACH FROM THE SIDELINE.
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I/We agree not to sue or pursue any damages if we or our child gets sick
I/We are allowing our child to attend tryouts at our own risk
I/We understand the exchange of bodily fluids and close contact associated with the sport
I/We will follow any protocols at the entry and/or exit of any facility Prodigy events are taking place
Other than Prodigy events, I/we have been or plan to be out of the state or country during our participation period
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No, we have nothing planned and are ready to proceed
Yes we have plans (this might impact your place in the program)
Not sure; contact Coach Cam immediately upon completion of your form
Parent 1 has been tested for COVID-19
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Yes, negative
Yes, positive; asymptomatic/quarantined cleared (date may be requested)
Yes, hospitalized; retested and cleared
No, limited public exposure/social distancing
Parent 2 has been tested for COVID-19
Yes, negative
Yes, positive; asymptomatic/quarantined cleared (date may be requested)
Yes, hospitalized; retested and cleared
No, limited public exposure/social distancing
Student-Athlete has been tested for COVID-19
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Yes, negative
Yes, positive; asymptomatic/quarantined cleared (date may be requested)
Yes, hospitalized; retested and cleared
No, limited public exposure/social distancing
RELEASE & WAIVER I/we hereby attest that I/we are fully cognizant of the assumed risks involved in the sport of basketball and the Prodigy Athletic events. I/we voluntarily assume and agree to abide by the published and spoken rules of this organization and protocols, at all times, regardless of time and location, and for the entire length of student-athlete's participation. GOOD HEALTH I/we acknowledge and fully understand that my/our student-athlete will be engaging in a contact sport that might result in serious injury or death, due to or not due to my/our student-athlete's actions. I/we further attest that the student-athlete does not suffer from any known heart condition, is in good health, and can handle the contact associated with the sport. In the event of any injury, our certified trainer or a qualified staff member will provide immediate examination and/or treatment. If I/we cannot be contacted, the emergency contact will be called, and/or be directed to transport the student-athlete by car or ambulance to the nearest medical facility (CED section 11710). ASSUMPTION OF RISK I/we assume all liabilities, and release, waiver, discharge the right to pursue and legal (past,present,or future) against the organization, administrators, school districts, schools, school staff, employees, organizers, volunteers, coaches, incidental or direct liability connected with the student-athlete's participation.
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I/we (parent(s) and student-athlete) agree to the RELEASE & WAIVER above
TEAM PLACEMENT & PARENTAL CONTROL Team placement is based on the information provided along with your TRYOUT. I/we understand that this is a competitive yet off-season/recreational athletic event. As adults (parents/spectators) will respect the rules of the game, game site, staff members, volunteers, and administrators. Any misconduct or violation of any COVID-19 protocols will be handled immediately, and may result in complete dismissal. LEGAL Prodigy Athletic Institute is a legally insured and nationally recognized institution. The use of our legal name (Prodigy Athletic Institute and in any form) and/or reproduction of that name is strictly prohibited. I/we fully authorize the use of my/our student-athlete's name, likeness or image for the purpose of advertising, marketing, promotion of the program without any compensation. Information, photos, videos, stats, and updates are posted on Facebook (Prodigy Athletic Institute), Instagram (@prodigyathlinst), Twitter (@prodigyathlinst), and our website (www.prodigyathletic.com). College entrance information will only be shared by our staff, by requests only, by college coaches. We will not distribute your information to recruiting services or spokespersons. PAYMENT PRODIGY ATHLETIC ADMINISTRATIVE COSTS There are no refunds, credits, or rollovers regardless of time, situation, conditions, or control including, but not limited to Acts of God, Government restrictions, wars, insurrections, natural disasters, such as earthquakes, hurricanes or floods and/or any other cause beyond the reasonable control of the owner. OUTSIDE EVENTS Refunds from the cancellation of outside events out of our control (tournaments, hotels, gyms, and/or transportation) is at the discretion of the executive staff.
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I/we (parent(s) and student-athlete) agree to the TEAM INFORMATION above
NCAA CERTIFICATION As a member of the annual NCAA certification system, the Prodigy Athletic Institute staff is required to report accurate student-athlete information and attend NCAA certification events. With these responsibilities, we certify to an open and honest participation process, in addition to healthy partnerships with college coaches and their staff as well. With these agreements comes the responsibility of accurate vetting through the recruiting process (academics/transcripts, attitude, aptitude, personal development, character, etc). We urge every student-athlete to adjust all social media accounts. VIOLATING NCAA RULES COULD RESULT IS DISQUALIFICATION.
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I/we (parent(s) and student-athlete) agree to the NCAA paragraph above
Typing your name means you are responsible for the parties listed on this form and the information included on it
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Today's Date
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