Straight Street All Stars Player Waiver Form 2019 / 2020 Season
 
Straight Street All Stars Player Waiver Form 2019 / 2020 Season
Player's Name (First & Last)  * 
Gender  * 
Player's Date of Birth  * 
Grade  * 
Name of School  * 
Player's Height  * 
Years of Basketball Experience  * 
Jersey Size  * 
Mother's Name (First and Last)
Mother's Home Number
Mother's Cell Number
Mother's Work Number
Father's Name (First and Last)
Father's Home Number
Father's Cell Number
Father's Work Number
Guardian's Name (First and Last) (if applicable)
Guardian's Home Number
Guardian's Cell Number
Guardian's Work Number
Backup Email Address
Street Address  * 
City  * 
State  * 
Zip Code  * 
Emergency Contact Name  * 
Emergency Contact Phone Number  * 
Any Medical Conditions coaches need to be aware of (allergies, etc.) * 
Are you (parent or guardian) interested in coaching or assistant coaching?  * 
Name of person interested in coaching or assistant coaching
Your Email Address  * 
Total $
 
 
Online Giving Powered by SimpleGive