BPE
HEAT TRY OUT - Registration - Fill out this form, Print & bring to the Try Out
Try-Out
Fee - $ 10(1 time fee, good for all try-out dates)
BPE Heat AAU Fee - $ 475
- To
be paid upon making a team.
Check
payable to
:BPE
Heat, PO Box 795, Bridgewater MA, 02324-0795
Try-Out
Dates - Saturday - September 27 - see schedule link for times.
Try-out location - Massasoit CC, Brockton
Waiver
: I understand and accept the
condition that neither the ABA-BPE Heat, ABC Inc, facilities used,
or anyone associated with this program assume responsibility for
accidents and medical or dental expenses incurred as a results of
participation in the program. I hold harmless and indemnify Massasoit
CC. I waive
the right to make claim directly or indirectly for all known and
unknown personal injuries or property damage now and hereafter.
The applicant is in good health and able to participate fully and
is covered by medical insurance as listed below in the application
form.
Refunds
: Once a player accepts placement with the BPE Heat,
program fee's are non-refundable.
By printing and
returning this form I have read, understand, and agree to the above
policies concerning Waiver, and Refunds.
Fill
in the form, print and then bring with the $ 10 try-out fee to the try-out.
Players First Name
Players
Last Name
Address
City
State
Zip
Family e-mail
Home Phone
September 2008Grade
Insurance
Carrier
Birthdate
(mm/dd/yyyy)
Level of play: (Indicate
the team you received the most amount of playing time)