ACHIEVE UNIVERSITY-NEW REGISTRATION FORMS 2026-2027

ACHIEVE UNIVERSITY- FL VIPERS

Student Athlete Registration
Student Athlete Full Name
Grade Level
Basketball experience level
Parent/Legal Guardian Full Name
Parent/Legal Guardian Full Name
Email Address
example@example.com
Email Address
example@example.com
Phone Number
Practice Days you want to select?

Mondays (3rd-6th grade) 6:30pm-8:30pmTuesdays (7th-High School) 6:30pm-8:30pmWednesdays (3rd-7th grade) 6:30pm-8:30pmThursdays (3rd-High School) 7:00pm-8:00pm
Phone Number
PLAYER EVALUATION REGISTRATION LINK

https://buy.stripe.com/8wMbLjaWv4428Ew5om
PRACTICE SESSIONS OPTIONS (select one link)

Individual Student-Athlete

•☐ $110/Month subscription

Details: 1 practice session per week 3-4 per month

https://buy.stripe.com/6oUaEX35NcJH5SvaNdcjT42

•☐ $190/month subscription

Details: 6-8 practice sessions per month

https://buy.stripe.com/eVqeVd9ubfVTep1f3tcjT44

•☐ $275/month subscription

Details: 10-12 practice sessions per month

https://buy.stripe.com/28E9ATdKreRPdkXg7xcjT46

Practice Information

**please note dates & times are subject to change with notice provided via our GroupME team app**

Locations

Broward location: 4100 N. Powerline Rd unit O-1 Pompano Beach, Fl 33073

(Turn on 40th Ct go straight down until you see the letter “P” and make a right, unit O-1 will be on your right)
Parent Signature

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Contact us

Email: connectflv@gmail.com

Website: https://floridavipersacademy.com

Instagram:@achieveuniversity

Twitter: @flvipers

YouTube: @floridavipersbasketball and @achieveuniversity

YouTube: https://youtu.be/PiZo9NdIjlA?feature=shared
Notes/Questions for Staff & Coaches?
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ACHIEVE UNIVERSITY- FL VIPERS

Student Athlete Registration

PLAYER EVALUATION REGISTRATION LINK

PRACTICE SESSIONS OPTIONS (select one link)

Contact us