Editing previous response:

Please fix the highlighted areas below before submitting.

2023/2024 Basketball Registration

Student Information

Answer Required
Answer Required

Parent 1 Information

Parent 2 Information

Emergency Contact Information

Family Doctor Information

T-Shirt Size
Answer Required

Permission to Participate

I give permission for my child to participate in Tri-City Christian Academy's Basketball Program. I hereby verify that a completed physical examination has been conducted and report form has been submitted to TCCA Athletics. I hereby verify that my son/daughter has been cleared by a physician to participate in sports with no restrictions, please attach written confirmation. *
Answer Required
I understand that participating in TCCA’s Middle and High School interscholastic sports program may require the early dismissal of my child from school. I understand that my child will have to complete any assignments missed by the early dismissal from school.
Answer Required
I give permission to Tri-City Christian Academy and its employees and/or coaches to treat minor injuries or to transport my child to the nearest medical facility via ambulance in the event of a more serious injury or illness. I understand that the Tri-City Christian Academy employees and /or coaches will use their best judgment in treating my child. I will make every effort to be available by phone while my child is participating in this sport and will provide Tri-City Christian Academy with updated phone numbers as they change.
Answer Required
I give permission to Tri-City Christian Academy and its employees and/or coaches to give my child acetaminophen (Tylenol) or Ibuprofen should he/she require it.
Answer Required

Release of Liability

I/We acknowledge that participating in sports can be dangerous activities involving many risks or injury. In consideration of my child being allowed to participate in competitive sports, and intending to be legally bound, I/we do hereby release and forever discharge Tri-City Christian Academy (TCCA), its Board, officers, employees, coaches, administrators, and volunteers from any/all liabilities, claims, losses, demands, costs, expenses, or rights of action, of whatever kind or nature, which I/we have or which may hereafter accrue to me/us against TCCA, by reason of injuries sustained by my child participating in sports or in transit to or from participation in sports. I/we agree, for myself/ourselves and successors, that this Agreement and Release of Liability contains the entire agreement between myself/us and TCCA and that the terms hereof are contractual and not a mere recital.
Answer Required
Basketball Registration Fees to be sent in ASAP - Cash or Check (memo TCCA Athletics) *
Answer Required
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
Type to sign
Draw your signature

Confirmation Email