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Home
About Us
Teams & Rosters
Annual Tryout
Tryout Application Form
Summer Camp
Summer Camp Application Form
Tournaments
Waiver Form
Gallery
Contact Us
Tryout Application Form
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Tryout Application Form
Name
*
First
Last
Gender
Boy
Girl
Grade
3
4
5
6
7
8
9
10
11
Height x'y"
*
Weight, lbs
*
Birthday
*
MM slash DD slash YYYY
Medical Insurance Company
*
Medical Insurance Account Number
*
Current School
*
Skill
*
Beginner
Intermediate
Advanced
Position
*
PoinGuard
Guard
Forward
Center
# of Year BB Exp:
*
Other BB Leagues
*
Parent's Name
*
Parent's Phone
*
Parent's Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Please read the waiver form
*
I Agree
Please read, understand & sign this waiver/concussion form prior to join FYBC and participate FYBC activities.
I am the parent/guardians of the players who applies to participate FYBC activities. I have read and fully understand the meaning and consequences of the wavier and thus voluntarily execute this waiver accordingly.
I hereby agree that FYBC Board of directors, staffs, tournament officials, coaches, volunteers, gym sites and all affiliated parents shall not hold or be liable for any illness, or injury sustained as result of participating in the FYBC activities. By signing this agreement, we waive all rights and claims for such injury and loss. Furthermore, we authorize FYBC officials, agents and officers to obtain medical treatment and services for any injured player whose parents/guardians are not present at the time of the injury, and agree to pay the fees and costs of such medical treatment and services. Finally, we agree to be responsible for any damages caused by the named players to the facilities and premises at this event.
I hereby give permission to FYBC to use any photos taken of my child/family in all forms and media for event promotion, FYBC publication, FYBC web site, and any other lawful purposes.
CONCUSSION
A concussion, is a brain injury, caused by a bump or blow to the head. Even a "ding", "getting your bell rung”, or what seems to be a mild bump or blow to the head can be serious. You can't see a concussion. Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If your child reports any symptoms of concussion, or if you notice the symptoms yourself, seek medical attention right away.
What are the signs and symptoms of a concussion?
Signs Observed by Parents or Guardians
If player has experienced a hump or blow to the head during game or practice, look for any of the following signs/symptoms of concussion:
Appears dazed or stunned
Is confused about assignment or position
Forgets an instruction
Is unsure of game, score, or opponent
Moves clumsily
Answers questions slowly
Loses consciousness (even briefly)
Symptoms Reported by Athlete
Headache or "pressure" in head
Nausea or vomiting
Balance problems or dizziness
Double or blurry vision
Sensitivity to light, or noise
Feeling sluggish, hazy, foggy, or groggy
Concentration or memory problems
Confusion/Does not "feel right"
Shows behavior or personality changes
Can't recall events prior to or after hit or fall
How can you help your child prevent a concussion?
Every sport is different, but there are steps your children can take to protect themselves from concussion.
Ensure that they follow their coach's rules for safety and the rules of the sport.
Encourage them to practice good sportsmanship at all times.
Make sure they wear the right protective equipment for their activity (such as helmets, padding, shin guards, and eye and mouth guards). Protective equipment should fit properly, be well maintained, and be worn consistently and correctly. Learn the signs and symptoms of a concussion.
What should you do if you think your child has a concussion?
Seek medical attention right away to get a health care professional’s opinion; how serious the concussion is and when it is safe for the child to return to sports.
Keep your child out of play. Concussions take time to heal. Don't let your child return to play until a heath care professional says it's OK. Children who return to play too soon-while the brain is still healing-risk a greater chance of having a second concussion. Second or later concussions can be very serious. They can cause permanent damage, affecting your child for a lifetime.
Tell your child's coach about any recent concussion. Coaches should know if your child had a recent concussion in ANY sport. Your child's coach may not know about a concussion your child received in another sport or activity unless you tell the coach.
What is the procedure for a suspected concussion?
Any athlete who is suspected of sustaining a concussion or head injury in a sport activity shall be removed from the activity at once and for the rest of the day.
Any athlete who has been removed may not return to play until the athlete is evaluated by a licensed health care provider trained in the evaluation and management of concussion and has received a written clearance to return to play from the health care provider.
Notify your child’s coach immediately, if you suspect your child has a concussion.
For more concussion information please visit www.cdc.gov/concussioninyouthsports