Jerry Eaves Gaters AAU Basketball Tryouts & APPLICATION!

Jerry Eaves Gaters AAU Basketball Tryouts & APPLICATION!

Parents & Players:

The first Jerry Eaves Gaters AAU Basketball Try-outs for boys (grades 4th – 8th) will be held on Sun, Feb 9th from 4:30pm-7:30pm at the Spears YMCA!
IMPORTANT…Please bring a Photocopy of your child’s Birth Certificate AND Report Card (most recent).
Absolute cost of the teams will be discussed at the first practice. If you have any questions, please feel free to contact me at (336) 707-1042 or via my email at

NOTE: Please see attached APPLICATION. Complete and bring with you on try-out date.

Coach Jerry Eaves

Jerry Eaves/Gaters AAU APPLICATION
Please Print Clearly
Participant Name___________________________________________________ Email_____________________________________________________________
Street__________________________________________________________ Apt #_______________ City ______________________________________ St__________ Zip_____________
Home Phone ___________________________ Camper’s Cell Phone____________________________ Emergency Phone_________________________
School___________________________________________________ School City______________________________________________ St__________
Grade ________ Height _______________ Weight _____________ Position ______________________
Shoe Size__________ Jersey Size____________ Shooting Shirt Size___________Shorts Size_________ School Coach _________________________________________ Phone ___________________________ Email _______________________________________
Health Insurance Company_____________________________________________________________ Group #_____________________________________ Policy #_________________________________
I hereby authorize the Jerry Eaves AAU Gaters to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release the staff from any and all liability for injuries or illness incurred while at the event. I have no knowledge of any physical impairment that would be affected by the above named player’s participation in the event as outlined. I give Jerry Eaves permission to use my son’s picture on social media sites, such as Facebook, Twitter and Instagram.
I have read and understand the terms and conditions outlined in this application.
Parent/Guardian Signature ______________________________________________________________ Parent Email______________________________________________
OFFICE USE ONLY: AMT PD.______________________________ BAL._____________________________ DATE _____________________________