Registration form - Achieve Your Dreams Basketball

Parent/Guardian Authorization
I hereby approve my child's participation in the
Achieve Your Dreams Boys' and Girls'
Basketball AAU program and verify that he or
she is in good health and able to participate in
programs and activities. I authorize that the
directors act for me according to their best
judgment in any emergency requiring medical
attention for which service I will pay. It is
expressly agreed that all participation in
activities shall be undertaken by me at the sole
risk and that the academy, it's directors,
servants, agents or any such employee shall not
be liable to me for any claims, demands,
injuries, damages, actions or causes of action to
my person or property arising out of use in the
academy by me.
2015
Achieve Your Dreams
Boys’ and Girls’ AAU Teams
Featuring Innovators and Instructors:
Signature of Parent or Guardian (ink only)
Terry Thompson
Bob Amendola
Bill Hager
x _______________________________
Health/Accident Insurance Information
Agreement # __________________________
Group # ______________________________
Individual # ___________________________
Bob Amendola
5513 Sandalwood Court
Erie, PA 16506
Name of Company _____________________
2015 AAU Team Practices
Beginning March 17, 2015
Edinboro University
McComb Fieldhouse and the
Mike J. Zafirovski Sports Dome
Dear Parents and Players,
THE REGIONAL TOURNAMENTS
The 2014 Achieve Your Dreams Boys’ and Girls’
Basketball AAU is a traveling team program. Teams
will participate in 5 regional tournaments that
provide the finest competition available.
April 11-12
April 18-19
This 9-week season will include the teaching of
individual skills as well as development of team play
during weekly practice sessions throughout the
season. We look forward to working with you and
helping you develop the skills necessary to “achieve
your basketball dreams.”
The following AAU teams are offered:
Ashland Tip Off
Challenge
Ashland, OH
Registration Fee is $425.
(Detach and return with Payment)
Athlete’s Name _________________________
Blue Storm Spring Thunder
Tournament
Sharron, PA
Guardians Name ________________________
Edinboro Spring Cage Classic
Edinboro University
Edinboro, PA
Home Phone ___________________________
May 9-10
Battle of Lake Erie
Madison, OH
School and Grade _______________________
May 16-17
Erie Spring Classic
Erie, PA
May 2-3
Boys & Girls Teams
(5th grade & 6th grade combined)
(7th grade & 8th grade combined)
(9th grade & 10th grade combined)
(11th grade & 12th grade combined)
REGISTRATION FORM
Home Address _________________________
Email ________________________________
Team Registering For ____________________
Tournaments are tentative. Games will be played on
Saturdays and Sundays, with local tournaments
including Friday nights.
Indicate Uniform Size
YM _____
YL ____
AS ____
AM ____
AL ____
AXL ___
Send Registration and $425 Fee to:
You must call to confirm availability.
Rosters will be limited to 11 players and will be
filled on a first come basis. Due to growing interest,
we will require a $150 non-refundable deposit with
the completed registration form to secure a roster
spot.
Balance due must be received by February 23th,
otherwise roster spots will be offered to the next
person on the waiting list.
The registration fee includes all tournament entry
fees, uniform (players keep), gym rentals,
equipment, coaches’ traveling expenses and
administrative expenses. The fee does not include
family travel expenses.
Practice Facility: All team practices will be held at
Edinboro University’s McComb Fieldhouse and the
Mike S. Zafirovski Sports Recreation Center.
Team Practice Times:
Tuesdays and Thursdays 6 PM - 8 PM
Beginning March 17, 2015
For more information and to register call:
Bob Amendola 814-835-2310
or
Terry Thompson 814-572-4746
or
Bill Hager 814-432-8674
Bob Amendola
5513 Sandalwood Court
Erie, PA 16506
(Make checks payable to Bob Amendola)