Spring 2012 Tryout REGISTRATION...all fields required !
Fill in, print & bring to tryout.
First Name
Last Name
Address
City
State
Zip
Home Phone
Parents Primary Email
Current Grade
Players Birthdate (mm/dd/yyyy)
508-730-9610
Medical issues to be aware of :
Waiver : I understand and accept the condition that neither the CBA Heat AAU, ABC Inc., facilities used, or anyone associated with this program assume responsibility for accidents and medical or dental expenses incurred as a results of participation in the program. I hold harmless and indemnify, Massasoit CC, the CBA Heat AAU, ABC Inc., all Coaches & Directors. I waive the right to make claim directly or indirectly for all known and unknown personal injuries or property damage now and hereafter. The applicant is in good health and able to participate fully and is covered by medical insurance as listed above.
REFUNDS : For the BPE & SC Programs with a DR's note, for the remaining sessions from the date written notification is received, minus a $ 30 non-refundable admin fee. There are no CBA Heat AAU refunds.
I HAVE READ AND AGREE TO WAIVER & REFUND POLICY ABOVE
PAYMENT OPTIONS - Spring 2012 AAU
TRYOUT Fee - $ 10 - bring fee to Tryout
PROGRAM FEE upon making a team - instructions published after tryouts
4th Grade - $ 295
5th Grade - $ 395
6th Grade - $ 395
7th Grade - $ 440
8th Grade - $ 440
9th Grade - $ 485
10th Grade - $ 485
11th Grade - 4 485
1- By Cash / Check:
2 - By Credit Card:
Uniform Size
Parents Primary Phone # for Texting
Parent / Guardian Signature
Adjustments may be required due to unforeseen circumstances.
