basketball registration form
BASKETBALL REGISTRATION FORM FOR OFFICE USE ONLY REG FEE PAID _________ UNIFORM FEE PD ________ CK# / CASH _________ LEAGUE_________ INPUTTED BY ______________ INSTALLMENT PAYMENT PLAN (YES) (NO)
SEASON FEE: $600.00 UNIFORM FEE: $150.00 *NON-REFUNDABLE Hard Work!!
DEPOSIT AT TIME OF SIGN-UP: $250.00 *NON-REFUNDABLE INSTALLMENT PAYMENTS: FINAL PAYMENT DUE BEFORE 3RD TOURNAMENT
(Please print legibly) (Athlete’s name)
(Date of birth)
(Age)
(Height)
Home Address (City State)
(School)
(Athlete’s cell)
(Grade)
(Home Phone)
(Father’s cell)
(Athlete’s email)
(Weight)
(Mother’s cell)
(Parent’s email)
(Recommended by)
(Allergies/Special Health Considerations)
By signing this form I give consent for my son/daughter (also known as Athlete) to participate in the New York Golden Eagles Basketball Program. By signing this form I acknowledge that my son/ daughter is physically fit to participate in strenuous athletic activity and I do hereby consent and agree to release and hold harmless the New York Golden Eagles Basketball Program GBC and their respective owners, officers, directors, coaches, subsidiaries, consultants, school districts, independent contractors and affiliates of any and all liability Including loss, damages, claims, or actions (including costs and attorneys fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of participation in Athletics and Travel. I hereby authorize the directors and coaches of the New York Golden Eagles Basketball program to act for me according to their best judgment in any emergency requiring any medical attention. I understand that any Athlete who does not abide by the rules and regulations of the New York Golden Eagles Basketball Program is subject to dismissal without reimbursement or recourse. I agree to return any uniform or equipment issued to my son/daughter at the end of the season, and further agree to pay for any equipment lost, damaged or not returned. I understand that the New York Golden Eagles Basketball Program is a travel club/team in as such does travel to basketball tournaments and events with a distance of 1000 miles or more crossing different States. SIGNED______________________________________________PARENT OR GUARDIAN PRINT NAME _________________________________________PARENT OR GUARDIAN
* Payment by check * Cash, or money order No Refunds Make checks Payable to: New York Golden Eagles Mail to: New York Golden Eagles Attn: Coaching Staff PO Box 295 Washingtonville, NY 10992 [email protected] Email
PARENTAL SUPPORT
CANCELLATION POLICY: ALL FEES PAID TO THE
WE ASK FOR ACTIVE PARTICIPATION OF ALL
Time Keeper (Clock)
Team Mom
Score Keeper (Book)
Conditioning Coach
NEW YORK GOLDEN EAGLES BASKETBALL PROGRAM ARE NON-REFUNDABLE!! No adjustments will be made for late arrivals, or early departures or dismissals. If an Athlete is unable to attend the program for any reason (including medical), Athlete fees will be applied to the following season. The Golden Eagles basketball Program reserves the right to dismiss any Athlete for disruptive behavior or misconduct. I acknowledge I have read and agree with this cancellation policy.
Fundraiser
Team Trainer
Parent or Guardian Initials:
PARENTS IN OUR PROGRAM CHECK AREAS(S) IN WHICH YOU WOULD BE WILLING TO HELP.
SEASON FEE: $600.00 UNIFORM FEE: $150.00 *NON-REFUNDABLE Hard Work!!
DEPOSIT AT TIME OF SIGN-UP: $250.00 *NON-REFUNDABLE INSTALLMENT PAYMENTS: FINAL PAYMENT DUE BEFORE 3RD TOURNAMENT
(Please print legibly) (Athlete’s name)
(Date of birth)
(Age)
(Height)
Home Address (City State)
(School)
(Athlete’s cell)
(Grade)
(Home Phone)
(Father’s cell)
(Athlete’s email)
(Weight)
(Mother’s cell)
(Parent’s email)
(Recommended by)
(Allergies/Special Health Considerations)
By signing this form I give consent for my son/daughter (also known as Athlete) to participate in the New York Golden Eagles Basketball Program. By signing this form I acknowledge that my son/ daughter is physically fit to participate in strenuous athletic activity and I do hereby consent and agree to release and hold harmless the New York Golden Eagles Basketball Program GBC and their respective owners, officers, directors, coaches, subsidiaries, consultants, school districts, independent contractors and affiliates of any and all liability Including loss, damages, claims, or actions (including costs and attorneys fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of participation in Athletics and Travel. I hereby authorize the directors and coaches of the New York Golden Eagles Basketball program to act for me according to their best judgment in any emergency requiring any medical attention. I understand that any Athlete who does not abide by the rules and regulations of the New York Golden Eagles Basketball Program is subject to dismissal without reimbursement or recourse. I agree to return any uniform or equipment issued to my son/daughter at the end of the season, and further agree to pay for any equipment lost, damaged or not returned. I understand that the New York Golden Eagles Basketball Program is a travel club/team in as such does travel to basketball tournaments and events with a distance of 1000 miles or more crossing different States. SIGNED______________________________________________PARENT OR GUARDIAN PRINT NAME _________________________________________PARENT OR GUARDIAN
* Payment by check * Cash, or money order No Refunds Make checks Payable to: New York Golden Eagles Mail to: New York Golden Eagles Attn: Coaching Staff PO Box 295 Washingtonville, NY 10992 [email protected] Email
PARENTAL SUPPORT
CANCELLATION POLICY: ALL FEES PAID TO THE
WE ASK FOR ACTIVE PARTICIPATION OF ALL
Time Keeper (Clock)
Team Mom
Score Keeper (Book)
Conditioning Coach
NEW YORK GOLDEN EAGLES BASKETBALL PROGRAM ARE NON-REFUNDABLE!! No adjustments will be made for late arrivals, or early departures or dismissals. If an Athlete is unable to attend the program for any reason (including medical), Athlete fees will be applied to the following season. The Golden Eagles basketball Program reserves the right to dismiss any Athlete for disruptive behavior or misconduct. I acknowledge I have read and agree with this cancellation policy.
Fundraiser
Team Trainer
Parent or Guardian Initials:
PARENTS IN OUR PROGRAM CHECK AREAS(S) IN WHICH YOU WOULD BE WILLING TO HELP.
