SONICS PROGRAM REGISTRATION FORM
______Players Name ( Last ) ( First)
______Address City State Zip
______Home Phone Cell Phone Who referred you to SJS
______Parents Name Email address
______Age/Current Grade Gender M/F Birthday
______Uniform Size Desired Number (Pick 2) High School or Future High School
PLEASE ATTACH A SHEET OF ANY MEDICAL CONDITIONS THAT WE SHOULD BE AWARE OF I hereby authorize the staff of the ST Johns SONICS to act for me according to their best judgement in any emergency requiring medical attention and I hereby waive and release the program from any and all liability for any injury or illness incurred while at any St Johns SONICS function. I have no knowledge of any physical impairment that would be affected by the above participants participation in the program, as outlined in the brochure. I further understand the program retains the right to use for publicity and advertising purposes photographs of participants taken at a St Johns SONICS event. “As a participant or guardian of a participant in the program, I recognize and acknowledge that there are certain risks of physical injury and agree to assume the full risk of any injuries, including death, damages or loss which I or the above participant may sustain as a result of participating in any and all activities connected with or associated with such programs.” “I agree to waive and relinquish all claims I or the above participant may have as a result of participating in the program against the St Johns SONICS and its officers, agents, servants and employees from any and all claims from the injuries including death, damage or loss which I or the above participants may have or which may accrue to me (us) on account of participating in the program.” Payment in full must be made prior to or on the first day of any and all St Johns SONICS Programs. No refunds will be given, all refunds will be given in the form of a credit towards a future St Johns SONICS program. I have read and fully understand and accept the program details, policies and procedures and waiver and release all claims.”
Parent or Guardian(if under 18)______Date______
PARENT CONTRACT AND CHECKLIST
We appreciate you signing up your son for one of our travel basketball teams. Please make sure you return the following to complete your son’s registration:
***SJS Registration Form
***SJS Financial Sheet
***Copy of your son’s birth certificate
***Signed Parent Contract
***Deposit or full payment
Please read through the following and then sign and date this contract. We must receive this with your child’s registration.
***I have read through the information packet and fully understand what the World Class Basketball philosophies are in regards to their goals for my child, how they will run the teams and the playing time philosophy.
***I fully understand that all money paid to the St Johns SONICS is non-refundable and if something should happen where I require a refund that the refund will be given in the form of a credit towards a future program.
***I understand that registering for this program is done on a voluntary basis and that attendance at all games and practices is very important.
______
PARENT SIGNATURE DATE
FINANCIAL/PAYMENT PLAN SHEET
We know things can be tough with the economy today so we offer payment plans to try and help out. Please fill out the following if you want to be put on a payment plan. Please note that we offer discounts for doing multiple sessions.
PLAYER NAME: ______
PARENTS NAMES: ______
PLEASE CHOOSE YOUR OPTION:
______Spring SONICS session (March – May) -- Cost: $300
______Elite AAU Spring 2015 (March – June) -- Cost: $555
______Elite AAU Spring 2015 & Sessions (March – June) -- Cost: $855
______Local AAU Spring 2015 ( March – May) -- Cost: $500
______Local AAU Spring & Sessions ( March - June) -- Cost: $800
______Summer Camp (June) Early bird Sign up $90.00 Save $20
**Basketball, Dribbling goggles and Camp Shirt
PLEASE INDICATE YOUR UNIFORM REQUEST:
______I do not need a uniform or practice gear (Current # ______)
______I need practice gear for SONICS Sessions -- Cost: $50.00
SPRING SONICS SESSION ONLY PAYMENT PLAN
**Please note that your uniform and/or practice gear cost should be added to your deposit
Deposit Amount Needed = $150+ uniform
PLEASE INITIAL YOUR OPTION:
______I agree to make 2 payments. The first payment of $200 by Feb 2th 2015 and the ending payment of $100 by March 2nd 2015
______Full payment is enclosed
ELITE AAU SPRING 2015ONLY PAYMENT PLAN
**Please note that your uniform and/or practice gear cost should be added to your deposit
Deposit Amount Needed = $200+ uniform($80)
PLEASE INITIAL YOUR OPTION:
______I agree to pay $280 onFeb 2nd, 2015 and ending with a payment of $275 by March 2nd 2015
______Full payment is enclosed
ELITE AAU & SPRINGSESSION PAYMENT PLAN
**Please note that your uniform and/or practice gear cost should be added to your deposit
Deposit Amount Needed = $350 + uniform ($80)
PLEASE INITIAL YOUR OPTION:
______I agree to pay $430 on Feb 2nd 2015 and ending payment of $425 by March 2nd 2015
______Full payment is enclosed
LOCAL AAU SPRING ONLY PAYMENT PLAN
**Please note that your uniform and/or practice gear cost should be added to your deposit
Deposit Amount Needed = $150+uniform
PLEASE INITIAL YOUR OPTION:
______I agree to pay $230on Feb 2nd and the ending payment of $270 by March 2nd, 2015
______Full payment is enclosed
LOCAL AAU & SPRING SESSIONS PAYMENT PLAN
**Please note that your uniform and/or practice gear cost should be added to your deposit
Deposit Amount Needed = $350 + uniform
PLEASE INITIAL YOUR OPTION:
______I agree to pay $430on Feb 2nd 2015 and ending payment of $370 by March 2nd , 2015
______Full payment is enclosed
I understand that all money paid to St Johns SONICS Basketball is non-refundable and enter into this agreement willingly. The only refunds that will be given will be if a program is cancelled. I understand that any other refund will be given in the form of a credit towards a future program. I also understand that payments need to be made by the 1st of each month as outlined above. Please note that those on a payment plan have a 5 day grace period, after the 5 days, players will not be able to participate in practice or games until that payment is made.
______
PARENT SIGNATURE DATE