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SKILLS AND CONDITIONING CIRCUIT TRAINING – Registration

SECTION 1 — PARENT / GUARDIAN INFORMATION

Parent / Guardian Full Name

*

Parent / Guardian Email Address

*

Parent / Guardian Phone Number

*

SECTION 2 — PLAYER INFORMATION

Player Last Name

*

Player First Name

*

Player Date of Birth

*

Player Current Grade

*

Age Division

*

*Divsions may be merged

A

6-8 years old

B

9-12 years old

Player School

*

Player Gender

*

SECTION 3 — PROGRAM SELECTION

Which season are you registering for?

*

A

Pay per session - $10

How did you hear about our program?

*

A

B

Friend

C

Website

SECTION 4 — WAIVERS

Liability Waiver

*

I acknowledge and accept the risks associated with participation in CYAA Up-State Allstars basketball activities.

Photo / Video Release

*

I grant permission for photos and videos of my child to be used for team and promotional purposes.

Refund Policy Acknowledgment

*

I understand that registration fees are non-refundable once the season begins.

Complete Registration & Payment

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*

SUBMIT REGISTRATION

I have completed payment using the option above. If payment is not completed, your registration is not processed and your spot is not held.

*

Yes

Questions or issues? Contact us at CrosbyYouthAthletics@gmail.com.