Register - Rushball Sports

face Athlete Information

First Name

Last Name

Date of Birth

Age (as of Sept 1st)

family_restroom Parent / Guardian Details

Full Name

Phone Number

Email Address

emergency Emergency Contact

Contact Name

Phone Number

sports_basketball Program Selection

Sports Interest (Select all that apply)

Flag Football Baseball Basketball Soccer All Sports

Membership Type

info Additional Information & Agreements

Sibling Registration Check here if you are registering multiple children (Eligible for sibling discount).

Family Assistance Request I would like to request the 25% Family Assistance Discount (Requires proof of eligibility).

Scholarship Request I would like to apply for the Rushball Sponsored Athlete 3-Month Scholarship.

Waiver Agreement * I agree to the parent/guardian liability waiver and participation terms.

Photo / Video Release I consent to the use of photos/videos of my athlete for promotional purposes.

Code of Conduct * I agree that my athlete and family will follow the Rushball Sports Code of Conduct.

warning Important Notice

By submitting this registration, you acknowledge that parent waivers and valid emergency contact information are strictly required before the athlete can participate in any Rushball Sports activities. Digital waivers will be emailed upon registration confirmation.

Register Your Athlete

face Athlete Information

family_restroom Parent / Guardian Details

emergency Emergency Contact

sports_basketball Program Selection

info Additional Information & Agreements

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