PSA Registration Form

PSA Registration Form
Childs Name

First Name Last Name
Parent/Guardian

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Number *

Area Code Phone Number
Cell Number

Area Code Phone Number
Work Number

Area Code Phone Number
Email
example@example.com
Spring-Summer 2021 Season (Jan-Aug) Only:

yes no
Fall - Winter 2021 (Sep-Nov/Dec) Only:

yes no
Child Birth Date

Month Day Year
Age
Height
Weight
School Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
School Name

Uniform Orders *

	Small	Medium	Large	X Large	XX Large
Uniform Jersey Size (Adult)
Uniform Shorts Size (Adult)
Uniform Jersey Size (Child)
Uniform Shorts Size (Child)

Type a questionDo you wish to become a volunteer? If so, please check your area(s) of interest below: General Assistance

Fundraising Tutoring Coaching Registration/Enrollment Team Refreshments Travel Arrangements
PHOTO RELEASE FORM
I hereby grant Paxton Sports Academy, its representatives and employees, or anyone authorized by Paxton Sports Academy, permission to use my likeness and/or the likeness of my child(ren) in a photograph in any and all illustrations, advertising, publications, including website entries, without payment or any other consideration. I understand and agree that these materials, including all negatives and positives, together with the prints, will become the property of Paxton Sports Academy and will not be returned. I hereby irrevocably authorize Paxton Sports Academy, its representatives and employees, or anyone authorized by Paxton Sports Academy, to edit, alter, copy, exhibit, publish or distribute this photograph for the purposes of publicizing Paxton Sports Academy programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness or the likeness of my child(ren) appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.
Parent/Guardian *

First Name Last Name
Signature *

Paxton Sports Academy Basketball Waiver Form

*Waiver must be completed and turned in prior to your child/children’s participation (one child per form)*
*
INSURANCE WAIVER

I fully understand that Paxton Sports Academy does not provide health or life insurance coverage for the above named child while he/she is participating in any of Paxton Sports Academy training programs. I/We further understand that it is my/our responsibility to provide adequate insurance coverage to the above named child.
Emergency Information: If we cannot contact listed parents or guardians, call:
Child Medical Information: If we cannot contact listed parents or guardians, call:
Participant's Name *

First Name Last Name
Participant’s Signature *
Guardian's Name *

First Name Last Name
Guardian's Signature *
OFFICIAL USE ONLY - Paxton Sports Academy Representative, Title (printed)

First Name Last Name
OFFICIAL USE ONLY - Paxton Sports Academy Representative, Signature

PSA Vikings Fall Ball Season
What is Fall Ball Season? This is the time when the height of the travel basketball season slows down. PSA use this period of time to primarily concentrate on building up individual player’s specific skill sets.
What are the requirements to participate in Fall Ball Season?

1.Commitment to 2 practice development sessions per week: Monday’s and Wednesday’s atdesignated times. This season will start in September and end in November/December. Theend depends upon the participation level of the families.

2.Commitment to participate in at least one tournament per month. All tournaments will bein the local bay area only.

3.A fee of $225 per player must be paid in full on or before August 31 in current year.

4.Every player is responsible for contributing to a specific cost per tournament deemedappropriate by coach. This is typically anywhere from $20-25 per player depending on thetournament entry cost.

5.New PSA Registration and Waiver Forms must be completed and submitted no later thanAugust 15 in current year. All participants must complete which program (Fall Ball and/orRegular AAU) season(s) they are interested in joining.

6.Player birth certificate must be submitted with completed registration and waiver forms.

What are the goals of the Fall Ball Season?

Its primary goals are to properly prepare each player to:

1.Participate effectively in their school (6-12 grades) basketball program.

2.Obtain more defined skill sets during the Fall Ball Season.

3.Grow and develop to compete at an elite level for the upcoming travel season.

4.Develop a higher basketball awareness IQ, which helps make better decisions on and offthe court.

5.Each player will receive a 60 day evaluation review form from the coach to help work onthings during and outside of practice.

Orders

Uniform Order $ 125.00

Tornament $ 125.00

Registration $ 250.00

Total $ 0.00

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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PSA Registration Form

PHOTO RELEASE FORM

Paxton Sports Academy Basketball Waiver Form

PSA Vikings Fall Ball Season