(AAU) Basketball June 10-12, 2016

(AAU) Basketball June 10-12, 2016
Tournament Director
AL. State Games Contact
(AAU DIVISION)
Charles Ferguson
Franklin Williams
334-440-8253
charles.ferguson@asffoundation.org
334-618-5229
dothangymrats@yahoo.com
Venue(s)
Dothan, AL
(Addresses listed on
alagames.com )
REGISTRATION FEES AND DEADLINES (Sanction 6KSEBW2111)
Registration -
Fee per Team
Fee Structure
Deadline
Received by Tuesday
,May 31, 2016
$200 per team entered
Register online at www.alagames.com.
Register by mail: Po Box 20327, Montgomery, AL 36120
NOTICE: The Alabama State Games online registration system will only allow paying for one team at a time.
If entering multiple teams, please mail a check for appropriate amount with registration in order to receive the discounted rate.
EVENT RULES & FORMAT
National Federation rules apply for all age groups. Any rule changes or modifications will be sent to the head coach with the confirmation packet and posted
online at www.alagames.com, click on Basketball.
• Rosters are limited to 15 players. A team must have at least five players on the roster.
• For ALL divisions, roster additions or changes are allowed before Friday May 31, 2016 for a fee of $10 per player.
• Teams should bring reversible jerseys or two different colored jerseys. All teams are guaranteed a minimum of three games.
• Tournament format will be determined after all entries are received. There is no guarantee of games not to overlap for coaches with multiple teams.
• The designated home team is responsible for keeping the official game scorebook. The designated visitor team is responsible for operating the game clock.
Every effort will be made to provide scorekeepers and clock operators at each facility, however, teams should be prepared to provide table personnel.
EVENT SCHEDULE
Friday, June 10, 2016
Opening Ceremony (free for everyone)
3 pm gates open….Alabama State Games Fan Fair at National Peanut Festival Fair Grounds
(food and product vendors, fun activities, t-shirt pickup and more) 5 pm - Athlete Leadership Summit *7:00 p.m.....Opening Ceremony at National Peanut Festival Fair Grounds
Saturday, June 11, 2016
8:00 a.m. Competition Resumes
Sunday, June 12, 2016
8:00 a.m. Competition Resumes
AWARDS
State Games Medals awarded for 1st, 2nd and 3rd place teams in each
division.
BASKETBALL REGISTRATION CHART (Sanction 6KSEBW2111)
After checking off your event,
clip out the Basketball
Registration Chart and attach
it to your completed
Registration Form.
Step 1 - Enter Team Name:
Step 2 - Select Gender
Male Team
Female Team
Age Determination Date:
August 31, 2016
Step 3-Select Division
AAU Division
Proof of age is required.The
coach/participant must have
proof-of-age documents on
hand at the event site.
Step 4 - Select Age
Division
10 & Under
12 & Under
14 & Under
16 & Under
18 & Under
REGISTRATION INFORMATION
Individuals and teams are officially registered when all paperwork and registration fees are received and processed by the ASF Foundation. The
ASF Foundation cannot be responsible for lost or misdirected mail. Photocopies of entry forms and waivers are acceptable.
Early Registration - Save! Save! Save!
Check your sport’s page for an Early Registration Deadline. You can save money by registering early with fees varying by each sport. To qualify
for Early Registration, completed forms and payment must be submitted online or mailed to the ASF Foundation office by the Early Registration
Deadline. Eligible to receive FREE Opening Ceremonies Parade of Athlete T’shirt.
Standard Registration
Check your sport’s page for the Standard Registration Deadline. Standard Registration fees will be in effect starting the day after the Early
Registration Deadline date and continuing through the Standard Registration deadline date. To qualify for Standard Registration Deadline,
completed forms and payment must be submitted online or mailed to the ASF Foundation office by the Standard Registration Deadline. Eligible
to receive FREE Opening Ceremonies Parade of Athlete T’shirt.
On-Site Registration
Some sports offer On-Site Registration. Please check your specific sport’s page. On-Site Registration allows you to register the day of the event
before it begins. On-Site Registration will be accepted at the event venue only on the day of the event. Make sure you check the time that OnSite Registration begins and ends.
IMPORTANT – Waiver Signatures
For On-Site Registration, any athlete 18 and under must be accompanied by a parent or guardian for the purpose of signing the waiver release
form, unless the form is brought to registration already signed.
Don’t Forget! You Can Register Online at www.alagames.com!
NOTICE: The AL. State Games online registration system will only allow paying for one team at a time.
If entering multiple teams, please mail a check for the appropriate amount with registration in order to receive the
discounted rate.
Some team & individual sports can ONLY pay online. For those sports, please pay online and send in (mail, fax,
email) a completed waiver and roster (roster is applicable for team sports only).
REGISTRATION CHECKLIST
Registration
• Each sport has specific
guidelines to register. Please
view the sports page on this
packet or at
www.alagames.com for more
details on how to register per
sport. *NOTICE!! Some sports in
the AL. State Games register
through third party websites
(TrackWrestling & Coach O for
track and field) &/or may have a
different registration process.
Team Form A or B
• Teams have 2 options to fill out
roster and waivers (only fill out
one form). Team Form A has
the roster and waiver on
separate documents (be sure
each player/guardian signs the
waiver, make copies as needed).
Team Form B provides an option
for teams to complete the roster
and waivers on one document.
Individual Entry Form
• Fill in all of the requested
personal information including
birth date.
Individual Waiver
• Incomplete waiver forms are
subject to an additional $20
charge.
Waivers
• EACH PLAYER AND COACH
MUST SIGN THE ALABAMA
STATE GAMES WAIVER FORM
IN INK.
• All athletes age 18 and under
must have WAIVER signed by a
parent or guardian in order to
compete. Incomplete waiver
forms are subject to an
additional $20 charge.
Hotel Reservations
• Make your hotel reservation. To
view a listing of partner hotels,
please visit www.alagames.com.
Confirmation
• Team and Individual
Confirmation Packets will be
sent approximately 1-2 weeks
before the competition. The
Team Confirmation packet will
be mailed /emailed to the head
coach or main point of contact
provided.
Registration Fee
• Payable to ASF Foundation
(check or money order) or pay
online at www.alagames.com.
• For registration fee information,
check the sport page for the
sport you are entering.
• Mail to ASF Foundation
• Include Official Entry Form,
Registration Chart and
Registration Fee and mail to:
P.O. Box 20327
Montgomery, AL 36120
• Fax: (334) 280-0988
• Email to specific AL. State
Games contact that is listed on
the front page of this packet or
online at www.alagames.com
(see sport specific page)
HEALTH
ACADEMIC S
ATHLETICS
TEAM FORM “A” Roster & Waiver (waiver on next page)
Please Staple All Registration Charts To This Form - Fill Out This Form Completely - Please Print Clearly
ONLY ONE TEAM PER FORM - If you are entering more than one team, please photocopy this form
Male
TEAM NAME
Female
Coed
DIVISION
EVENT OR AGE GROUP
SPORT
HEAD COACH/DIRECTOR/TEAM ADDRESS-IF THIS IS A SCHOOL TEAM, PLEASE USE A SUMMER ADDRESS AND PHONE NUMBER
NAME
ADDRESS
CITY
STATE
WORK
PHONE
HOME
PHONE
CELL
PHONE
(
(
(
)
)
)
WORK
PHONE
HOME
PHONE
CELL
PHONE
(
(
(
)
)
)
ZIPCODE
EMAIL
ASSISTANT COACH
NAME
ADDRESS
CITY
STATE
ZIPCODE
TEAM ROSTER - Make sure all team members sign a copy of Team Entry Form “A” Waiver on next page!
ATHLETE LAST NAME
FIRST
MI
BIRTH DATE (MM-DD-YY)
AGE
OFFICE USE ONLY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
ENTRY FEES
Please refer to specific sport information page in this Registration Packet
for complete registration fee information.
YES!
I want to make a contribution to the ASF Foundation, and I understand that my contribution is tax deductible. Contributions from the private sector
are the lifeblood of the ASF Foundation. IRS Tax ID# 63-0830085
Make check or money order payable and
mail entry forms to:
ASF Foundation
Attn: Registration Director
P.O. Box 20327
Montgomery, AL 36120-0327
Entry Fees
$
Contribution
$
Total
Enclosed
$
W
TEAM FORM “A” WAIVER
This Document Is Very Important! Please Read Carefully Before Signing
SPORT
INDIVIDUAL INFORMATION
LAST
FIRST
MI
WORK
PHONE
HOME
PHONE
CELL
PHONE
NAME
ADDRESS
CITY
STATE
ZIPCODE
MM
Please Include Correct Date of Birth and Gender ➡
)
)
)
(
(
(
DD
YY
Female
BIRTH DATE
Male
EMAIL
SCHOOL ATTENDING (IF APPLICABLE)
SCHOOL
NAME
EMERGENCY CONTACT INFORMATION
NAME
WORK
PHONE
RELATIONSHIP
HOME
PHONE
)
)
(
(
WAIVER FORM - Please Read Carefully And Sign
In consideration of the PARTICIPANTS being allowed to participate in any way in the ASF Foundation Alabama State Games program and related
events and activities, the undersigned:
1.ACKNOWLEDGE, FULLY UNDERSTAND that the participant will be engaging in activities that involve risk or serious injury, including permanent
disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence, but the
actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other
risks not known or not reasonably foreseeable at this time.
2.ASSUME all the foregoing risks, known and unknown, and accept personal responsibility for the damages following such injury, permanent
disability or death.
3.RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE ASF Foundation, Inc., sponsor of
Alabama State Games, National Congress of State Games, their affiliated clubs, their promoters, other participants, operators, officials, any persons in
a restricted area, sponsors, advertisers, owners and lessees of premises used to conduct the event and each of them, their officers and employees, all
of which are hereinafter referred to as “releasees”, from any and all liability to each of the undersigned, his or her heirs, executors, administrators,
successors, assigns and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property,
caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
4.AUTHORIZE, in the event that the participant sustains injury or illness while competing/participating in the Alabama State Games, any emergency
first aid, medication, medical treatment or surgery deemed necessary by licensed medical personnel, and give permission for attending medical
personnel to execute on behalf of the Participant permission forms or other necessary medical documents and to act on his or her behalf if he or she
is not immediately available to do so.
5.CONSENT to allow the Participant’s picture and/or likeness or voice to appear in any official documentary, promotional (including any and all
advertisements) television, radio or film coverage of the Alabama State Games in any manner incidental to his or her participation in the ASF
Foundation program, without compensation.
ALL OF THE UNDERSIGNED HAVE READ THE ABOVE WAIVER, RELEASE OF LIABILITY AND AUTHORIZATION OF MEDICAL
TREATMENT, UNDERSTAND THAT THEY HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND ACKNOWLEDGE THAT THEY
HAVE SIGNED IT VOLUNTARILY. THIS AGREEMENT CANNOT BE MODIFIED ORALLY BY ANY PARTY.
Participant’s signature Date
Date
Parent/guardian signature (if under 19) Printed name of parent/guardian COACHES:
Each Player On Your Team Must Have a Properly Completed Waiver Form To Compete!
Make As Many Copies Of This Form As You Need!
EMAIL
ADDRESS
LAST NAME
EMAIL
ADDRESS
LAST NAME
TEAM NAME
HEAD COACH
ASST. COACH
MI
MI
CITY
(WORK PHONE
CITY
(WORK PHONE
❏ FEMALE ❏ COED
)
)
DIVISION/EVENT
-
-
STATE
(HOME PHONE
STATE
(HOME PHONE
)
ZIPCODE
)
ZIPCODE
ALL TEAM MEMBERS MUST READ THE WAIVER BELOW AND SIGN THE TEAM ROSTER BELOW
FIRST NAME
FIRST NAME
❏ MALE
-
-
2
1
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
FIRST NAME
FIRST NAME
MI
MI
( HOME PHONE )
CITY
/
/
/
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
/
DATE OF BIRTH (MM/DD/YY)
-
AGE
-
AGE
GENDER
GENDER
RELATIONSHIP
EMAIL
SIGNATURE
-
ZIPCODE
RELATIONSHIP
EMAIL
SIGNATURE
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
-
ZIPCODE
-
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
( PHONE
YES
YES
NO
NO
Please complete all information about each team member and make sure they sign after reading the waiver above. If the team member is under 19, then a parent or guardian must sign for them.
Each team member MUST complete and sign the form in order to compete in the Alabama State Games. You may make as many copies of this form as needed.
TEAM MEMBER ROSTER (ROSTER CONTINUES ON NEXT PAGE)
In consideration of the PARTICIPANTS being allowed to participate in any way in the ASF Foundation Alabama State Games program and related events and activities, the undersigned:
1.ACKNOWLEDGE, FULLY UNDERSTAND that the participant will be engaging in activities that involve risk or serious injury, including permanent disability and death, and severe social
and economic losses which might result not only from their own actions, inactions, or negligence, but the actions, inactions or negligence of others, the rules of play, or the condition of the
premises or of any equipment used. Further, that there may be other risks not known or not reasonably foreseeable at this time.
2.ASSUME all the foregoing risks, known and unknown, and accept personal responsibility for the damages following such injury, permanent disability or death.
3.RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE ASF Foundation, Inc., sponsor of Alabama State Games, National Congress of
State Games, their affiliated clubs, their promoters, other participants, operators, officials, any persons in a restricted area, sponsors, advertisers, owners and lessees of premises used to
conduct the event and each of them, their officers and employees, all of which are hereinafter referred to as “releasees”, from any and all liability to each of the undersigned, his or her heirs,
executors, administrators, successors, assigns and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or
alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
4.AUTHORIZE, in the event that the participant sustains injury or illness while competing/participating in the Alabama State Games, any emergency first aid, medication, medical treatment
or surgery deemed necessary by licensed medical personnel, and give permission for attending medical personnel to execute on behalf of the Participant permission forms or other
necessary medical documents and to act on his or her behalf if he or she is not immediately available to do so.
5.CONSENT to allow the Participant’s picture and/or likeness or voice to appear in any official documentary, promotional (including any and all advertisements) television, radio or film
coverage of the Alabama State Games in any manner incidental to his or her participation in the ASF Foundation program, without compensation.
ALL OF THE UNDERSIGNED HAVE READ THE ABOVE WAIVER, RELEASE OF LIABILITY AND AUTHORIZATION OF MEDICAL TREATMENT, UNDERSTAND THAT THEY
HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND ACKNOWLEDGE THAT THEY HAVE SIGNED IT VOLUNTARILY. THIS AGREEMENT CANNOT BE MODIFIED
ORALLY BY ANY PARTY.
TEAM INFO
Please Print Clearly - Only One Team Per Form. If you are entering more than one team, please photocopy this form
OFFICIAL TEAM ENTRY FORM
TEAM FORM “B” - Roster & Waiver
HEAD COACH NAME
OFFICIAL TEAM MEMBER ROSTER (CONTINUED)
10
9
8
7
6
5
4
3
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
SCHOOL NAME
EMERGENCY CONTACT NAME
INFORMATION
ADDRESS
LAST NAME
FIRST NAME
FIRST NAME
FIRST NAME
FIRST NAME
FIRST NAME
FIRST NAME
FIRST NAME
FIRST NAME
MI
MI
MI
MI
MI
MI
MI
MI
/
/
/
/
/
/
/
/
/
/
/
/
( HOME PHONE )
CITY
/
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
/
/
DATE OF BIRTH (MM/DD/YY)
( HOME PHONE )
CITY
/
DATE OF BIRTH (MM/DD/YY)
-
AGE
-
AGE
-
AGE
-
AGE
-
AGE
-
AGE
-
AGE
-
AGE
GENDER
GENDER
GENDER
GENDER
GENDER
GENDER
GENDER
GENDER
RELATIONSHIP
-
ZIPCODE
RELATIONSHIP
EMAIL
SIGNATURE
-
ZIPCODE
RELATIONSHIP
EMAIL
SIGNATURE
-
ZIPCODE
RELATIONSHIP
EMAIL
SIGNATURE
-
ZIPCODE
RELATIONSHIP
EMAIL
SIGNATURE
-
ZIPCODE
RELATIONSHIP
EMAIL
SIGNATURE
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
-
EMAIL
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
ZIPCODE
SIGNATURE
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
RELATIONSHIP
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
-
EMAIL
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
ZIPCODE
SIGNATURE
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
RELATIONSHIP
EMAIL
SIGNATURE
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
(
PHONE
-
ZIPCODE
-
Did Your P.E. Teacher recommend that you participate in the Alabama State Games?
STATE
)
( WORK PHONE )
( PHONE
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
Please complete all information about each team member and make sure they sign after reading the waiver on the previous page. If the team member is under 19, then a parent or guardian must
sign for them. Each team member MUST complete and sign the form in order to compete in the Alabama State Games. You may make as many copies of this form as needed. If you have more
than 10 team members, please feel free to copy this form as needed. Be sure to check Event Rules and Formats for your sport for the maximum number of team members allowed.
PLEASE COMPLETE
TEAM NAME
TEAM FORM “B” - Roster & Waiver (Continued)
If you have more than 10 team members, Please photocopy this form and continue to the maximum allowed by your sport