BCRI Early Registration & Deposit Form "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Player Name* First Last Player Boy Girl Current School*Birth Date MM slash DD slash YYYY If you are new to BCRI, have you played AAU before, and where?Grade* 3 4 5 5 6 7 8 9 10 11 12 Non-Refundable Deposit to Secure Roster Spot Price: Coupon Parent Info 1 (Required)Parent Name* First Last Parent Phone*Parent Email* Parent Info 2 (Optional)Parent Name First Last Parent PhoneParent Email Jersey Size*Shorts Size*List your preferred jersey numbers in order*CheckoutCoupon CodeCoupon AppliedFee WaivedTotal Payment Method* Venmo or Cash App Credit Card Check Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* Venmo: @bcri-aau Cash App: $bcriaauCheck made out to "BCRI" and mailed to: BCRI. PO Box 20345. Cranston, RI 02920Acknowledgement 1* I agreeIn consideration of participation in any activities, events, or programs associated with BASKETBALL CLUB RHODE ISLAND (BCRI), I, on behalf of the registered player and as their parent or legal guardian, agree to release, indemnify, and hold harmless BCRI, its directors, coaches, staff, volunteers, sponsors, and affiliates from any and all claims, liabilities, or causes of action arising out of or related to participation in BCRI activities. This includes, but is not limited to, any injury, illness, or loss that may occur during tryouts, practices, games, travel, or related events, whether caused by negligence or otherwise. I understand and accept all risks involved and certify that the player is in good physical condition to participate. Acknowledgement 2* I agreeIn the event of a medical emergency involving the registered player, I hereby authorize BASKETBALL CLUB RHODE ISLAND (BCRI) staff, coaches, or representatives to obtain medical treatment as deemed necessary for the player’s well-being. I understand that reasonable efforts will be made to contact a parent/guardian prior to treatment, but if unavailable, I authorize appropriate emergency care to be administered. I agree to assume full financial responsibility for any medical services provided and release BCRI and its representatives from any liability related to such care.Permission* I agreeI grant permission to BASKETBALL CLUB RHODE ISLAND (BCRI) to photograph, video record, and/or use the likeness of the registered player for player exposure, promotional, marketing, or educational purposes. This may include use on social media, websites, printed materials, and other media platforms. I understand that no compensation will be provided for the use of these images or recordings and that BCRI holds all rights to the media produced.UntitledCAPTCHA
