HomeElite Registration Form

Elite Registration Form
Athlete Skill Level *


Athlete Medical History

Please list below any medical information that our staff would need to take care of your athlete. Medications, injuries, food or medicine allergies, etc.

If none, please indicate


Winchester Elite Waiver of Liability

I hereby consent to the aforementioned person ("Athlete") participating in the Winchester Elite Basketball program including but not limited to; drills, stretching and games. I recognize that potentially severe injuries can occur in any activity that is associated with basketball and youth sports.I understand that this is the express intent of the Winchester Elite Basketball club to provide for the safety and protection of my child and, in consideration for allowing my child to participate in the Winchester Elite activities, I hold Winchester Elite Basketball club totally harmless.

I hereby forever release Winchester Elite Basketball Club and its Directors, Coaches, Trainers and staff, and/or facilities used by Winchester Elite Basketball Club, its officers, employees, coaches and owners from all liability for any and all damages and injuries suffered by my child while under the instruction, supervision or control of any of the above so mentioned. As legal guardian of the aforementioned person, I hereby agree to individually provide for the possible future medical expenses which may be incurred by my child as a result of any injury sustained while participating in the Winchester Elite Basketball Cub, and/or any facility used by the Winchester Elite Basketball Club and its officers, employees, coaches and owners.

In case of an emergency, I authorize Winchester Elite Basketball Club staff to administer first aid to my child/or take my child to a physician or hospital for further treatment. This acknowledgement of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.

I hereby give Winchester Elite Basketball Club the right to use pictures from activities for the sole purpose of promoting Winchester Elite Basketball Club activities, events and camps.

YOU MUST AGREE TO WAIVER OF LIABILITY FOR YOUR ATHLETE TO PARTICIPATE IN CLUB ACTIVITIES.

Read and Accept Waiver of Liability? *