Basketball League Registration Form

Collect everything a basketball league needs from new players before the season starts, including emergency contacts, insurance details, and signed acknowledgment of the rules.

Use this template

In the Claude connectors directory

League Season

Player Name

First Name

Last Name

Are You Over 18?

Yes No

Guardian/Parents Names

First Name

Last Name

Address

Street Address

City

State / Province

ZIP / Postal Code

Home Phone

Cell Phone

Email

Interested in Volunteering While Your Team Isn't Playing?

Yes, I'm interested

I'd Like to Play on the Same Team as the Following Players (League Organizers Will Form Teams Based on This List and Your Skill Level)

Player's Date of Birth

T-Shirt Size

Emergency Contact's Name

First Name

Last Name

Relationship

Phone Number

Do You Have Health Insurance?

Yes No

Insurance Carrier

Name of Policy Holder

Subscriber ID/Group Number

Card Number / Card Date

Do You Have Any Allergies, Chronic Illness, or Medical Conditions That Would Limit High-Level Activity?

Yes No

Please Describe

Current Medications

Name of Physician / Emergency Medical Care Facility

Address

Street Address

City

State / Province

ZIP / Postal Code

Phone Number

Additional Notes

I Have Read and Agree to the Above Conditions

I Agree I Do Not Agree

Confirmation Email

Signature

Sign here

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