NW Simba's Winter 25' Mentorship & Basketball Registration pay w/ credit or debit card

Better Chances- NW Simbas Mentorship & Basketball registration w/ credit or debit card

Better Chances' mentorship & basketball program is more than just teaching young boys and girls how to play basketball. We understand introducing them to sports is a great way to help them build character and teach them lifelong skills such as leadership, communication, self-advocacy and problem solving. WE care about our community and want to engage the children in positive play in a safe space. We encourage them to work hard, try new things and make long lasting friendships, all while learning to play and love the game of basketball!
Mentoring and Basketball Program
- If your child has any of the following please bring a basketball,water bottle, athletic shoes and clothes appropriate for gym.
- Boys Groups: 4th & 5th grade and 6th - 8th grade
- Students will participate in group discussions and activities to help develop character and learn about safety.
- We ask that your student arrive to practice on time, ready to learn, play and have fun!
- Please register your child(ren) for any of the sessions below to ensure your child(ren) has a spot reserved in the program.
  Duration: Year Round
Locations:

Charles Jordan Community Center (CJCC)

9009 N. Foss Ave Portland,OR 97203

Fall Season: Tuesday January 07,2025 - Friday March 14,2025

Program Days & Times

ALL BOYS 4th - 8th grade - Tuesday 5:45 pm - 7:30 pm @ CJCC location

ALL BOYS 4th - 8th grade - Friday 5:45 pm - 7:30 pm @ CJCC location

GAMES IN BEAVERTON @ YMCA

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Please note: After your player's registration and payment are recieved you will be invited to download the Team Reach App. please downloah the app. The Team Reach App will be used to communicate and view the calendar. The program calendar will include practices, games & team outtings/events through the season.

Please call or text Talietha @ 503-381-6101 or email Betterchances365@gmail.com if you need additional information,have questions.

Only use this form if you plan to pay using a credit or debit card.

If you need financial assistance you can apply here https://everykidsports.org/every-kid-sports-pass/.
Child's Name*

First NameLast Name
Child's age:*
Child's date of birth*

MonthDayYear
Date
What school does your child attend?
Child's grade (in the 2024/2025 school year):*

4th grade5th grade6th grade7th grade8th grade
Does your child have any allergies, medical conditions or behavioral disorders we should be aware of? If any please list them below.*
Parent/Guardian Name*

First NameLast Name
Phone Number- **please provide a number that we can send a text to for reminders and cancellations***
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact *

First NameLast Name
Emergency Contact Phone Number*
What size basketball jersey would your child like?*

Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXL
Please read carefully:

By signing below, I agree to the following.

I will not hold Better Chances and/or NW Simbas basketball team responsible for any accidents and/or injuries that may happen to my child(ren) during skill sessions, practices, games and/or team outings. I agree to allow Better Chances the right to take photos and/or videos which may be used for marketing purposes. I commit to having my child ready and prepared for all practices. I commit to being a positive team parent, saying positive things to my player, other players, coaches and referees. I will not speak poorly of or disrespectfully to other parents,coaches,referees and/or players.
Signature*

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If you need to make payments here is the payment scedule:

1st payment - Friday January 03, 2025

2nd payment - Friday February 07,2025

3rd payment - Friday March 07,2025

Enter the dollar amount of your payment.*

USD

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Better Chances- NW Simbas Mentorship & Basketball registration w/ credit or debit card