Boys 4th Grade through 12th Grade (Fall Grade 2024)
Cost: Credit Card payment of $130 per player plus 5% Bank Service fee

Player First Name

Player Last Name

Mother Email Address

Father Email Address

Gender *

Female

Male

Rate Player’s basketball performance

Player BirthDate – Use Widget please Do Not Type *

Player Height *

Address *

City *

State *

Zipcode *

Mom’s Cell Phone

Mom’s Name

Dad’s Cell Phone

Dad’s Name

Shirt Size

School Grade Fall 2024 *

Player School *

List a few friends separated by commas, you would like on team:

If entering as a member of a team enter Coach’s Name:

If entering as a member of a team, enter Team Name:

Renegades Walker League Player Registration

AAU INSURANCE MANDATORY FOR Players entering the league as individuals who are not Renegades club members – FULL TEAMS COMING INTO THE LEAGUE SHOULD HAVE THEIR OWN INSURANCE

MANDATORY INSURANCE – Any player entering as an individual who is not a Renegades club member must purchase an aau insurance card (cost 22.00) on August 16, 2024 or later which covers the period of Aug 16, 2024 thru August 31, 2025. If you belong to a different aau club you can take this card back to your club. This catastrophic insurance covers any sport and is well worth the 22.00 yearly fee. Our Renegades 2024/2025 AAU Club Code is W3EWY9.

MANDATORY INSURANCE INSTRUCTIONS: Any player who does not play AAU basketball or plays AAU basketball with another club must either supply AAU Card purchased by your AAU club or purchase online at:

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

Please do not purchase your aau membership before August 16, 2024 or it will expire 8/31/24!!!!

When you register online, you must select EXTENDED BENEFIT and you will be covered under the AAU supplemental insurance from the purchase date until 8/31/25. This insurance covers the player not only for basketball but for any sport that the player participates until the expiration date and is well worth the $22.00. Please do not purchase the 20.00 regular card. This AAU insurance does not take the place of family health care coverage. Every league player must have their own health care insurance. All Non-Renegades players must forward by email, their AAU insurance membership card confirmation they receive from AAU to renegadesscheduling@gmail.com prior to playing in their first league game. This will be strictly enforced due to the liability issues. If you have any questions please contact us at renegadesscheduling@gmail.com

The registered child has my permission to participate in the 2024 Renegades Fall Walker League. I hereby assume all risks associated with the participation of my child in the Renegades Program, and agree to hold harmless the Renegades AAU organization, their officers, coaches, and participants for any and all claims or injuries and illness such as communicable diseases including COVID-19, arising out of the participation in this program. I understand the details of this form and attest to its accuracy. All persons are required to be covered by a personal or family medical plan including hospitalization before they can participate in the program; I certify that the person named above is covered by such a plan. I the undersigned parent (legal guardian), do hereby grant permission to any licensed physician to perform or provide necessary medical care or aid to my child or ward who was injured in connection to the playing of basketball.

Parent Signature *

Signature Date – Use Widget Do Not Type *

Walker League Registration

Renegades Walker League Player Registration