Club Registration – Renegades Basketball Inc.

Renegades Club Registration

Renegades Club Registration Revised 8-21-2024

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 or participate in the fall Walker League. Our 2024-2025 Renegades AAU Club Code is W3EWY9. 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

Please note that players that are registering as a Renegades club member for the period Sept 1, 2024 thru Aug 31, 2025 should not purchase their aau membership until after August 16, 2024!!!! Again choose the extended coverage not the regular coverage!!!

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 2024 *

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?