AAU Shooting Stars Basketball www.mesicamp.com Required Documentation Checklist Student-athlete s Name: Team: Please print out this checklist and include the following documents in a large manila envelope with this checklist stapled to the outside. Copy of birth certificate Copy of front and back of insurance card on one page Parent Pledge (print off website, initial and sign) Athlete Pledge (print off website, initial and sign) Registration form (print off website and complete) If you are unable to attend the Registration Meeting, please put this checklist and all documentation in a large manila envelope and mail to the address below no later than February 15, 2016. Please make all checks payable to Academic Sports Academy Contact/Mailing Information Coach Kenny Evans Academic Sports Academy 1877 Northgate Blvd. Suite 3, Sarasota, FL 34234 PHONE: 941.894.4903 EMAIL: elitesport360@hotmail.com
Academic Sports Academy SHOOTING STARS REGISTRATION FORM Last Name: First Name: Address: City: State: Zip: DOB: M/F Height: Weight: School: Grade: Parents/Guardian Phone:, Parents/Guardian Email: Player Phone: Player Email: Uniform: (please circle one) Number Desired: 1st 2 nd 3 rd Jersey: S M L XL XXL XXXL Shorts: S M L XL XXL XXXL Shooting Shirt: S M L XL XXL XXXL *** All players must provide a copy of birth certificate to register with AAU Card. *** Make checks payable to Academic Sports Academy,LLC Paid: (Y) (N) Amount: Amount Owed:
. Academic Sports Academy Girls TRAVEL BASKETBALL REGISTRATION FORM YOUTH INFORMATION PARTICIPANT/PLAYER NAME: AGE: GRADE: SCHOOL ATTENDING: BIRTH DATE: / / ADDRESS: PHONE #: STREET CITY ZIP MEDICAL HISTORY LIST MEDICAL CONCERNS (I.E. ALLERGIES, ASTHMA OR PHYSICAL DIFFICULTIES) THAT SHOULD BE BROUGHT TO THE ATTENTION OF THE COACHES:. PARENTS / GUARDIAN INFORMATION PARENT NAME: (FATHER/GUARDIAN) HOME PHONE: CELL PHONE: WORK PHONE: E-MAIL ADDRESS: PARENT NAME: (MOTHER/GUARDIAN) HOME PHONE: CELL PHONE: WORK PHONE: E-MAIL ADDRESS: IN CASE OF EMERGENCY (OTHER THAN LIVING WITH YOU) GUARDIAN NAME: RELATIONSHIP: ADDRESS: STREET CITY ZIP HOME PHONE: CELL PHONE: WORK PHONE: ********************************************************************************************* IDENTIFICATION REQUIREMENT: NEW PLAYERS MUST HAVE A *COPY OF BIRTH CERTIFICATE*; NO P.O. BOX. ALL RETURNING PLAYERS ONLY NEED PROOF OF HOME ADDRESS. Base Registration Fee $200 All Players (non-refundable) Total Fees Make Payable to: $ TOTAL PAYMENT Academic Sports Academy, LLC ALL DOCUMENTS MUST BE IN TO THE HEAD COACH BY FEB 15TH *REGISTRATION FORM* *BIRTH CERTIFICATE* *HOME ADDRESS IDENTIFICATION * *REGISTRATION FEE* ASSUMPTION OF LIABILITY: Participation in the activity may involve risk or injury. As a parent, guardian, or participant, I am aware of these hazards and my ability to participate. I hereby agree to release, discharge and hold harmless Academic Sports Academy/ MESI CAMP or MESI Inc., its Board members, coaches, or other volunteers, its employees, contracted instructors, and volunteers from the liabilities which may occur while participating in the activity. I understand that participation in any recreational or sport activity involves risk. In addition, I give permission for the participant to be treated by qualified medical personnel in the event that the above named parent/guardian/emergency contact cannot be reached at the phone numbers provided. PARENT/GUARDIAN SIGNATURE: DATE:
2017 Academic Sports Academy PLAYER Contract As a player, it is our desire that you reach your ability to be the very best you re capable of being: as a person, student, and athlete. You have a significant role in the success and growth of your team and yourself. By initialing after each item and signing below, you are agreeing to uphold the following standards and rules: 1. I will take pride in myself, what I stand for, and who I represent at all times, on and off the court. I am now a member of ASA! My choices reflect back on this organization. 2. I will always work to improve myself and my teammates. 3. I will never question the official s call I will respect the game and the officials at all times. 4. I will always expect good things to happen and have a positive attitude in practices and games. 5. Practice doesn t make perfect; perfect practice helps me master the game faster. 6. I will always hustle. No championship was ever achieved by playing at half speed! 7. I will treat my parents, coaches, teammates, and opponents with respect at all times. 8. I will always maintain a positive, open mind toward my coaches. They have my, and my team s, best interest in mind. 9. I will use my voice to talk to my coach when I don t understand about playing time, skill development, starting roles, or any other concerns I have about myself and my role on the team. My parents will not fight my battles for me. This is an important skill for me to learn, both on the basketball court and in life. Competition will make me and my entire team better! 10. I will not ever give less than my best at practices and games. I, and my teammates, will not improve to our highest potential if we take it easy or go at half speed during practices or games. 11. I will remember there is always someone out there who is practicing his skills when I am taking a break. If I want to be the best, then I must practice on my own. I am the only one who puts limits on myself when it comes to my development of individual skills. Therefore, I will spend extra time working on my weaknesses so I can become a better player. 12. I will have fun, make new friends, and challenge myself to become the best I can be. I will encourage my teammates when they are feeling down. I will be a positive role model for my teammates at all times. 13. I will attend all practices and games. If I cannot do so, then I will inform my head coach by email, phone, or text BEFORE the practice or game. This is MY responsibility, not my parents! 14. I understand that if I do not uphold any of the above rules, I will have consequences such as probation or termination from the team. Player Name: Grade: Player Signature: Parent Signature:
2017 Academic Sports Academy Parent Contract The parents of our players have a significant role in the success and growth of our program. By initialing each item and signing below, you are agreeing to uphold the following standards and rules: 1. Make sure your child attends all practices and games. Inform the Head Coach about any missed practices and games before they occur. Your player will receive sanctions for not following this rule. 2. Encourage good sportsmanship by demonstrating positive support for all players, coaches, and officials at every practice or game. 3. Place the emotional and physical well-being of your child ahead of any personal desire to win. A single game is not worth damaging the self-esteem of your player. 4. Report any significant injuries immediately to the Head Coach. An Injury Report Form must be filled out and turned into the Administration. 5. Remember this organization is for young players to improve their skills, not for adults to live out their dreams through their children. 6. Do your best to assist the team with all associated activities, car pools, fundraisers, etc. 7. Allow 24 hours to pass from the end of a game/tournament to discuss any negative issues with your coach. This allows a cooling down period and does not interfere with the coach s ability to prepare for the next game during a tournament. 8. Allow your child to learn to use his own voice when it comes to playing time or skill development questions for his coach. This will allow him to develop the necessary skills he will need to learn to speak up for himself as he matures into an adult. Don t fight his battles for him. Competition teaches many lifelong lessons, both on and off the court. 9. Refrain from negative comments or actions when in the stands at games. You also represent the Reaching New Heights organization and we pride ourselves on our positive, encouraging atmosphere for our players, coaches and players from other organizations. Be a positive role model! 10. Make sure your guests understand, and follow, Academic Sports Academy Parent Contract rules. The general public, officials and our opponents will see them as members of the organization, just like you. 11. Allow the coach for your team to coach your child and the other players on the team. Coaching from the stands is very distracting for the players, and unfair to them to have to choose between listening to their coach and listening to their parent. Remember, you cannot correct every mistake in a game. Development takes time, practice and patience. Encourage, do not criticize. They will develop faster if they are not afraid to make mistakes. Name of Player: Grade: Date: Parent/Guardian Signature: Parent/Guardian Signature: