Club Registration – Renegades Basketball Inc.

Renegades Club Registration

Renegades Club Registration Revised 1-29-24

Please note as of 1-1-24 Parents will be required to purchase the Extended $22.00 Mandatory AAU Membership Insurance card for their child at the time the player is registered as a Renegades Club member or if the player is going to attend a spring tryout. Our 2023-2024 Renegades AAU Club Code is RS839EE4. Do Not purchase the Regular $20.00 card!!! Please click on below link to purchase and then email copy of AAU card to renegadesscheduling@gmail.com

https://play.aausports.org/joinaau/multimembershipapplication.aspx

Player and Parent’s registration info

Player First Name *

Player Last Name

Mother Email Address

Father Email Address

Sex *

Female

Male

Player BirthDate *

Player Height *

Address *

City *

State *

Zipcode *

Mom’s Cell Phone

Mom’s Name

Dad’s Cell Phone

Dad’s Name

HomePhone

Uniforms, School, Ability

Please select your top 5 jersey number choices, digits have to be 5 or less. i.e. 0-5, 10-15, 20-25

Shirt Size

Short Size

School Grade Fall 2023 *

Player School *

Rate Player’s basketball performance

Health Questions

Head Injury *

No

Yes

Heart Problem *

No

Yes

Is your child allergic to any drugs, serums, adhesive tapes or insects? *

No

Yes

If Yes, please explain allergy to allergic to any drugs, serums, adhesive tapes or insects

Is your child allergic to any food or other substances? *

No

Yes

If Yes, please explain Is your child’s allergy to any food or other substances?

Has your child ever been told not to participate in sports because of a health problem? *

No

Yes

If Yes, please explain why your child ever been told not to participate in sports because of a health problem?

Does your child take medication regularly? *

No

Yes

If Yes, please explain why your child takes medication regularly?

Has your child had any serious illness or operation in the past year? *

No

Yes

If Yes, please explain allergy to allergic to any drugs, serums, adhesive tapes or insects

Is your child currently under a Doctor’s care? *

No

Yes

If Yes, please explain child currently under a Doctor’s care?

Is there any medical condition that would limit your child’s participation in our program? *

No

Yes

If Yes, please explain any medical condition that would limit your child’s participation in our program?