Clifton Park Boys Basketball Club 2012/2013

CLIFTON PARK BOYS BASKETBALL CLUB 2017/2018 TRAVEL BASKETBALL REGISTRATION FORM

Last Name First Name ______Address ______City ______Zip ______Grade______Date of Birth ______(Player’s address must be within the Shenendehowa school district. If not please make it known to the Registration Desk). E-Mail Address______

Second Email Address ______

Home # ______Mom Cell # ______Dad Cell # ______

Parent or Guardian Name: Father ______

Mother ______

I ______being the legal parent or guardian of ______do hereby consent to his participation in the Clifton Park Boy’s Basketball Club travel program. I further agree that if he does suffer any injury that the above mentioned Club, through it’s officers, or coaches, has my permission to sign whatever consent forms required for any necessary emergency medical treatment. I further understand that the Clifton Park Boys Basketball Club will first attempt to contact me at the numbers listed above to obtain my consent for any such treatment.

Any medical conditions the coaches should be aware of______? Has your child played basketball before? ____ If so, where?______?

Each family that participates in the boys travel program will be responsible for assisting with Concessions and/or Administrative help (Clock/Scoreboard) for at least two home games.

8th grade boys not attending classes at a Shenendehowa school will only be eligible for the 8th grade “B” (CYO League) team.

Fees: There is a $ 10.00 TRYOUT fee due at tryouts.

The TRAVEL program fee is $ 350.00 per player if your son is selected to a travel team. Parents that do not return uniforms at the end of the season will be subject to a $75 replacement fee. We will also discount a family fee $25 for a second boy in the program and $50 for a third. ______**Parent / Legal Guardian Signature**