Online AAU Registration Form Player's Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Player's Cell Phone*Parent's Name* First Last Parent's Cell Phone*2nd Parent's Name First Last 2nd Parent's Cell Phone*Age*Grade*Select grade1st2nd3rd4th5th6th7th8th9th10th11th12thAAU is now grade-based. Please select your grade from the dropdown.Gender*BoysGirlsBIrth Date* Date Format: MM slash DD slash YYYY SchoolHeightHeightWeightPositionPositionNotes/CommentsHealth Insurance Co.Group #Policy #Consent* My child is in excellent physical health and capable of participating in strenuous physical activity, and waive Status pro Athletics of any and all responsibilities for injury or illness. I hereby authorize the director of Status pro Athletics to act for me according to their best judgment in any emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and must provide Backcourt Hoops with proof of insurance. I also understand that my payments are non-refundable, non-transferable under any circumstances. Signature of Parent/Guardian*By typing your name you are giving an electronic signatureToday's Date* Date Format: MM slash DD slash YYYY AAU Registration Payment Amount* AAU Registration Total $0.00 PaymentPayPalCheckIf you select PayPal, After submitting form, you will be taken to a screen from which you can pay online via safe, secure PayPal with your credit card or online check. If you select Check, you will be given information on where to send payment.PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.