Player Registration

Interested in joining Palouse Cougar Basketball 2025-26 winter league teams. Please fill out the following registration form and submit prior to attending player evaluations (October 20-25).

Player First Name*

Player Last Name*

Player gender*

Player Grade*

Player Birthdate*

Height-Feet*

Inches*

Parent/Guardian Name*

Parent/Guardian Email*

Parent/Guardian Phone*

Parent Volunteer

I am willing to serve as an adult volunteer at tournaments and other Palouse Cougars events.

Additional Parent or Emergency Contact Name*

Additional Parent or Emergency Contact Email*

Additional Parent or Emergency Contact Phone*

Primary Medical Doctor*

Medical Doctor Phone*

Medical Insurance Provider*

Insurance Policy #*

List player allergies, food sensitivities and/or intolerances

List player medical conditions that may impact participation

By checking the box below, I, as the parent or legal guardian of the above-named participant, acknowledge and agree to the following:
1. Assumption of Risk: I understand that participation in the player evaluation involves inherent risks, including physical contact and potential injury. I voluntarily assume all risks associated with my child’s participation.
2. Release of Liability: I release and hold harmless the Palouse Cougars Basketball organization, Youth Athletic Recreational Development and the Pullman School District, including their officers, employees, agents, and volunteers, from any and all claims, demands, and causes of action arising out of or related to any injury, loss, or damage sustained by my child during the player evaluations.
3. Medical Responsibility: I acknowledge that the Palouse Cougars Basketball organization and the Pullman School District do not carry medical or liability insurance for participants. I am responsible for any medical expenses incurred as a result of my child’s participation.
4.Fitness to Participate: I certify that my child is physically fit and capable of participating in player evaluations, and I have disclosed any relevant medical conditions to the organizers within this application.

Liability Agreement*

I agree to the terms and conditions stated above.