Gorilla Basketball Registration

Complete the form below to register your player for the Gorilla Basketball program.

Player Information

Player full name

Date of birth

Month

Day

Year

Gender

Male

Female

Other

Current school

Age group

2nd–3rd Grade

4th–6th Grade

7th–8th Grade

Highschool

Select the appropriate age group for your player

Parent / Guardian Information

Parent/Guardian name

Relationship to player

Phone number

Email address

Home address

City

State

Zip

Player Apparel & Equipment Information

Used for uniforms and program planning

Shoe size

Basketball Experience

Years of basketball experience

Previous teams / programs

Medical & Emergency Information

Known medical conditions / allergies

Medications (if any)

Emergency contact name

Emergency contact phone

Participation & Liability Agreement

By checking this box, I acknowledge that participation in Gorilla Basketball activities involves physical activity and inherent risk. I agree to release and hold harmless Gorilla Basketball, its coaches, staff, and volunteers from any and all claims or liabilities arising from participation in program activities, except as prohibited by law. I also grant permission for my child to participate in all basketball-related activities.

Parent/Guardian signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Please sign to acknowledge agreement to the terms above

Date

Month

Day

Year

Media Release

Media release permission

Yes

No

I grant permission for Gorilla Basketball to use photos or videos of my child for promotional and educational purposes.

Thank you for registering with Gorilla Basketball!

TEAM GORILLA

GORILLA BASKETBALL