Up-State Allstars – Registration

PARENT / GUARDIAN INFORMATION

Parent / Guardian Full Name

Parent / Guardian Email Address

Parent / Guardian Phone Number

SECTION 2 — PLAYER INFORMATION

Team

Player Last Name

Player First Name

Player Date of Birth

Player Grade (Spring 2026)

Player School

Jersey Number (Preferred)

Jersey Number (Secondary)

Jersey Size

Short Size

Shirt Size

Pant Size

Uniform Notes

SECTION 3 — PLAYER STATUS

Is your child a returning Up-State Allstars player?

Yes (Returning Player, no new uniform needed)

Yes (Returning Player, but needs new uniform)

No (New Player – Uniform Required)

SECTION 4 — PAYMENT OPTION

How would you like to pay for the Spring 2026 Travel Basketball season?

Pay in full (Credit / Debit Card)

Pay in installments (Automatic payments)

Pay with Afterpay (Split into 4 payments)

SECTION 5 — POLICIES

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.

SECTION 6 - CODE OF CONDUCT

I will remember that youth sports are played for fun!

I will be a role model for my team, demonstrating how to treat other players, parents, officials, and coaches with respect at all times.

I will demonstrate good sportsmanship regardless of the score by acting in a positive manner towards all players, officials, parents, and coaches.

I will show respect to all referees, officials, or umpires and never act in a manner that would be disrespectful toward them.

I will be an encouragement to all players on all teams regardless of the score.

I will place my child’s emotional and physical well-being ahead of my own personal desire to win.

I understand that playing time is not guaranteed and is determined by the coaches based on various factors including effort, attendance, and skill development. I will support the coaching staff's decisions regarding playing time.

I will volunteer to help my child’s team by coaching, officiating, planning team parties, team pictures, and team trophy orders, phone calls, and/or other needs.

I will not use drugs, tobacco, or alcohol at any CYAA practices or games and will remind other parents not to do so.

I will remember that the game is played for the youth and not for the adults.

I will encourage my child to shake hands with the other team at the conclusion of all games.

I will encourage my child to shake hands with the officials at the conclusion of all games.

I understand that I and possibly my child will be suspended without warning from the league for any violation of this Parent’s Code of Conduct.

I agree with the above Code of Conduct

Yes

Untitled checkboxes field

SECTION 7 — DOCUMENT UPLOAD

Report Card (2025-26 School Year)

Size limit: 10 MB

Birth Certificate

Size limit: 10 MB

Complete Registration & Payment

STEP 1: COMPLETE PAYMENT

Based on your selections above, the correct payment option will appear below.

Please complete payment before submitting this form.

STEP 2: SUBMIT REGISTRATION After completing payment, return to this page and click the “Submit form” button below to finish your registration. You will receive a payment confirmation email from Square once payment is processed. If you do not receive a payment confirmation, your registration is not complete. Questions or issues? Contact us at [email protected].