Team Nikos Spring-Summer 2018 High School Club Basketball Registration Team Nikos Spring-Summer 2018 HIGH SCHOOL Club Registration Spring-Summer 2018 Team Nikos Club Registration for High School Players 1 SECTION 1: Player Information2 SECTION 2: Parent Information3 SECTION 3: SPRING-SUMMER 2018 Club Fees and Payment Options / Per Diem Fees4 SECTION 4: Player Documentation5 SECTION 5: SPRING-SUMMER 2018 ACCEPTANCE OF COMMITMENT CONTRACT, TERMS AND CONDITIONS6 SECTION 6: SPRING-SUMMER 2018 Assumption of Risk and Waiver of Liability7 SECTION 7: Player Acceptance and Special Notes SECTION 1: PLAYER INFORMATIONPlayer's Name* First Last Is there someone we can thank for referring you to our program? If so, please share with us who referred you:2017-18 Academic Grade Level*Please select:9th10th11th12thSchool you attend for 2017-18:*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Player's Home Phone NumberPlayer's Cell Phone Number*Player's Email Address* Does your child have any special needs or physical limitations? If so, please explain below: SECTION 2: Parent InformationPRIMARY (PARENT 1) CONTACT* First Last Parent 1 Email*ALL CLUB AND TEAM COMMUNICATIONS WILL BE SENT TO THIS PRIMARY EMAIL ADDRESS. Enter Email Confirm Email Parent 1 Cell Phone*Your Head Coach and Team Manager will use this number as the primary contact for team/group texts.Parent 1 Home Phone (if different from player)Parent 1 Address (if different from player) Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PARENT 2 NAME First Last Parent 2 Email(Please include if you wish to receive all Team Nikos emails and newsletters.) Parent 2 Cell PhoneParent 2 Home Phone (if different from player)Parent 2 Address (if different from player) Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Player's Emergency Contact (OTHER than parents)* First Last Emergency Contact Phone* SECTION 3: SPRING-SUMMER 2018 Club Fees and Payment Options / Per Diem FeesTotal Club Dues for Spring-Summer 2018 (6-month season): $1,950.00 How will you be paying?*Credit Card (3.5% processing fee will apply)Check/CashWhich payment option would you like?*Pay in FULL (discounted/recommended)Pay in 2 installmentsClass of 2018 Additional Options (for 12th grade players ONLY)I need an alternate payment planI wish to apply for Financial AidPAY IN FULL / CREDIT CARD*Please complete checkout through PayPal upon submission of this online form; you can checkout as a guest without logging in. Price: $1,910.00 PAY IN FULL / CASH OR CHECK*Please bring your payment to the Welcome Meeting on March 1st. Price: $1,850.00 PAY IN 2 INSTALLMENTS / CREDIT CARD*Please complete checkout through PayPal upon submission of this online form; you can checkout as a guest without logging in. $1,012.00 due now at registration; 1 additional installment payment of $1,012.00 due on 3/27/18 (requires credit card authorization form - see below). Price: $1,012.00 PAY IN 2 INSTALLMENTS / CASH OR CHECK*Please bring your payment to the Welcome Meeting on March 1st. $975.00 due now at registration; 1 additional installment payment of $1,012.00 due on 3/27/18 (requires credit card authorization form - see below). Price: $975.00 Class of 2018 Additional Options / Credit Card*Please complete checkout through PayPal upon submission of this online form; you can checkout as a guest without logging in.Pay in Full: $1,443.00 due now at registration.Pay in 2 Installments: $779.00 due now at registration; 1 additional installment of $779.00 due on 3/27/18.Class of 2018 Additional Options / Cash or Check*Please bring your payment to the Welcome Meeting on March 1st.Pay in Full: $1,400.00 due now at registration.Pay in 2 Installments: $750.00 due now at registration; 1 additional installment of $779.00 due on 3/27/18.Initial Deposit Due at Registration*Families who are requesting an alternate payment plan or who are applying for Financial Aid must pay a minimum deposit of $335.00 upon registration. Please contact Carol Miller (carol@teamnikos.com) within 24 hours of submitting your online registration to request an alternate payment plan or Financial Aid application. Price: $335.00 RECURRING CREDIT CARD PAYMENT AUTHORIZATION FORM: CLICK HERE to download the Recurring Payment Authorization Form. Please print and complete this form, and bring it with you to the Welcome Meeting on March 1st.RECURRING CREDIT CARD PAYMENT AUTHORIZATION FORM: CLICK HERE to download the Recurring Payment Authorization Form. Please print and complete this form, and bring it with you to the Welcome Meeting on March 1st.TOTAL DUE TODAY:If paying with a credit card, you will be redirected to PayPal to checkout after the Agreements sections. Please complete check out through PayPal. Please note that you may checkout as a guest without having to login to PayPal. If paying with cash/check, please bring your payment for this total to the Welcome Meeting on March 1st. $0.00 SECTION 4: Player DocumentationThe following document MUST be emailed withing 48 hours of completing your registration! You may also turn in a hard copy at the Registration and Welcome Meeting on March 1st. If emailing, please send your player's documents to carol@teamnikos.com AND lori@teamnikos.com. Thank you!Player's 2018 AAU Membership Card*Go to: https://play.aausports.org/Default.aspx?TabID=36231&returnurl=%2f&flushed=t and be sure to register for "Extended" membership for $16.00. TEAM NIKOS AAU CLUB CODE: WWC6WC I agree to upload or email this document within 48 hours, or bring a hard copy to the Welcome Meeting on March 1st. Enter AAU Number from Membership Card:*For your 2018 AAU Card, please type in the membership ID number below. It is an 8-digit alpha-numeric number found on the membership card. If you are uncertain as to what your AAU Membership number is or you cannot locate it on your membership card, please enter "TBD" for now. Thank you! SECTION 5: SPRING-SUMMER 2018 ACCEPTANCE OF COMMITMENT CONTRACT, TERMS AND CONDITIONSPlease review the following documents carefully and completely prior to attaching your digital signature below. Be sure to review the important aspects of your commitment with your child.Download and Review the following documents - you will be required at the bottom of this page to acknowledge and digitally sign that you have read and agree to the rules, policies and terms outlined in these documents: CLICK HERE to download the Spring-Summer 2018 Welcome Packet (2018 WP) CLICK HERE to download the Spring-Summer 2018 Player/Parent Handbook (2018 PPH) PRIMARY PARENT (PARENT 1) - SPRING-SUMMER 2018 ACCEPTANCE OF COMMITMENT CONTRACT, TERMS AND CONDITIONS (REQUIRED): By checking the boxes below and adding my full legal name after the checkboxes, I am digitally signing this form and agreeing that I have read, understand and accept the rules, policies and commitments and requirements of the Team Nikos Basketball Academy club basketball program. Further, I have thoroughly read and agree to BOTH the Spring-Summer 2018 Welcome Packet (2018 WP) and Spring-Summer 2018 Player/Parent Handbook (2018 PPH) in their entirety.*PRIMARY PARENT (PARENT 1): Please thoroughly read and review our Spring-Summer 2018 Welcome Packet (2018 WP) and Spring-Summer 2018 Player/Parent Handbook (2018 PPH; see links above), then check the boxes and digitally sign at the bottom indicating your agreement and acceptance. The Team Nikos Basketball Academy (TNBA), the Player and his or her Parent(s)/Guardian(s) agree to uphold the high standards of the Team Nikos Program and perform the duties and commitments outlined in the Spring-Summer 2018 Welcome Packet (2018 WP) and Spring-Summer 2018 Player and Parent Handbook (2018 PPH). By digitally signing this agreement, I am agreeing to the following (Parent 1 - please check each box in agreement for each of the items below and add your digital signature by typing in your full name at the bottom of this page): I have read the Spring-Summer 2018 Welcome Packet (2018 WP) AND the Spring-Summer 2018 Player and Parent Handbook (2018 PPH) in their entirety and agree to abide by ALL of the terms and policies included therein. * I understand and acknowledge that the cost for uniforms and gear are SEPARATE from the club dues. I also understand and acknowledge that all uniforms and gear will be updated for the following 2018-19 season, and that participation in the 2018-19 season will require the purchase of all new uniforms and gear. * I understand and acknowledge that practices, High School Academy sessions and tournaments are subject to change at any time. * I HAVE REVIEWED THE SPRING-SUMMER 2018 TOURNAMENT SCHEDULE ONLINE AT http://teamnikos.com/club-teams/high-school-club-program/ AND I WILL DO EVERYTHING POSSIBLE TO SCHEDULE OUR PLANS AROUND THESE DATES, as I fully understand the importance of our commitment to the team and the program. I understand that failure to attend team practice(s) and/or tournament game(s) results in hardships on the team and the coach, and unexcused absences will result in consequences per TNBA policy (as per page 15 of the 2018 PPH, section titled “Absence Policy”). If my player must miss a team practice or tournament game(s), I agree to notify the Head Coach and Team Manager immediately and with as much advance notice as possible. I understand and accept that if there are any changes to pre-scheduled practice and/or tournament dates, TNBA will provide as much advance notice as possible. * I have read and agree to the terms of the Spring-Summer 2018 Club Dues and Payment Options as outlined on page 8 of the 2018 WP. I further agree that payment of all player/club fees and dues will be paid in full as outlined in the Payment Options on page 8 of the 2018 WP, or prior agreed-upon Alternate Payment Plan. I have read and agree to the Payment, Refund (Drop) and Injury Policies on page 17 of the 2018 PPH, and I understand that any late payment fees will be strictly enforced. Late payments will deem my player ineligible from competition in tournaments and/or practices and High School Academy sessions until the account is made current, or until specific payment arrangements are made. * I have read and agree to the Commitment Contract on pages 5-6 of the 2018 PPH. * I understand and acknowledge that my player must have a current (2018) EXTENDED membership with AAU in order to participate in all Team Nikos activities and events. * I have read and understand the “Player Movement” policy on page 9 of the 2018 PPH. * I have read and agree to the Codes of Conduct for Players (page 10 of the 2018 PPH) and Parent (pages 11-12 of the 2018 PPH). * I have read and understand the Disciplinary Actions policy on page 14 of the 2018 PPH. * I understand, acknowledge and agree that ANY personal/private, semi-private, small group and/or group training I decide to participate in is outside of Team Nikos control, and is further a direct contract between myself and the coach and/or program providing the service(s) to me and/or my child, even if that coach is also a Team Nikos coach or staff member. I hereby indemnify, release and hold harmless Team Nikos Basketball Academy from any and all claims, losses, damages, personal injury, disability, death and damage to personal property resulting from my participation in such activities. * I HAVE READ THIS ACCEPTANCE OF COMMITMENT CONTRACT, TERMS AND CONDITIONS AGREEMENT AND I AGREE TO ABIDE BY THE POLICIES OF THE TEAM NIKOS BASKETBALL ACADEMY CLUB FOR THE SPRING-SUMMER 2018 CLUB BASKETBALL SEASON. AT THE END OF THIS SEASON, MY COMMITMENT IS COMPLETE AND MY PLAYER IS THEN FREE TO PLAY FOR ANOTHER CLUB IF I SHOULD SO DECIDE. LIKEWISE, THE CLUB’S COMMITMENT TO ME IS COMPLETE AT THE END OF THIS SEASON. I AM FREE TO DECIDE WHETHER OR NOT TO HAVE MY PLAYER ATTEND TRYOUTS FOR NEXT SEASON’S TEAM. * I am aware that this is a full release of liability and a contract between myself, my child (the “Player”) and Team Nikos Basketball Academy Club Inc., and I sign it of my own free will. I have read this document carefully and fully understand these terms and conditions. In addition, MY DIGITAL SIGNATURE HEREBY GIVES PERMISSION FOR MY MINOR CHILD (the “Player”) TO BE PHOTOGRAPHED as a participant of the Team Nikos Basketball Academy program for publicity purposes, including but not limited to newsletters, web sites, newspapers, social media and any and all promotional materials. I further agree that my child will not receive any compensation for such use of his or her likeness, name, quotation and/or photographs. Parent 1 Digital Signature (type full name)*By typing in my full name below, I am digitally signing the above Spring-Summer 2018 Acceptance of Commitment Contract, Terms and Conditions: SECTION 6: SPRING-SUMMER 2018 Assumption of Risk and Waiver of LiabilityPRIMARY PARENT (PARENT 1) - SPRING-SUMMER 2018 Assumption of Risk and Waiver of Liability (REQUIRED): By checking the boxes below and adding my full legal name after the checkboxes, I am digitally signing this form.*By digitally signing this agreement, I am agreeing to the following (Parent 1 - please check each box in agreement for each of the items below and add your digital signature by typing in your full name at the bottom of this page): 1. The sporting activities (including but not limited to, basketball games, practices, High School Academy sessions, etc.) in which I will participate involves significant risk of personal injury, including the risk of death and permanent disability. I hereby assume all such risks, known and unknown, foreseen and unforeseen, and assume full responsibility for my participation in such activity. * 2. I will comply with all policies, instructions, rules and regulations and directions related to my participation in such activity. * 3. For myself and on behalf of my heirs, assigns, next of kin and personal representatives, I hereby indemnify, release and hold harmless Team Nikos Basketball Academy (TNBA), and its officers, contractors, employees, coaches, directors, members, agents, representatives, associates and other sports participants from and against any and all claims, losses or damages, including, without limitation, any and all personal injury, disability, death and damage to personal property arising directly or indirectly from my participation in such activity, to the extent permitted by law. * 4. I have no medical condition that could impair my safe participation in such activity. I acknowledge that Team Nikos Basketball Academy does not maintain medical insurance for me. If I have a medical emergency, I hereby grant Team Nikos Basketball Academy permission to administer or have administered whatever emergency medical care it deems necessary for my welfare and I shall be responsible for any costs incurred by Team Nikos Basketball Academy in providing such medical care. * I HAVE READ AND FULLY UNDERSTAND THIS ASSUMPTION OF RISK AND WAIVER OF LIABILITY AND ACKNOWLEDGE THAT I HAVE WAIVED CERTAIN RIGHTS BY DIGITALLY SIGNING IT THROUGH THIS ONLINE REGISTRATION FORM FOR THE SPRING-SUMMER 2018 CLUB BASKETBALL SEASON. Parent 1 Digital Signature (type full name)*By typing in my full name below, I am digitally signing the above Spring-Summer 2018 Assumption of Risk and Waiver of Liability: SECTION 7: Player Acceptance and Special NotesPLAYER ACCEPTANCE: By checking the "I agree" box below and typing in my name, I am digitally signing this form and thereby agreeing to the Team Nikos Code of Conduct for players, to work hard and make the necessary sacrifices to be able to reach my ultimate goal of developing to the next level, and to be courteous of my teammates' and coaches' time and commitments.PARENTS: We highly encourage you to go over the Team Nikos Spring-Summer 2018 Welcome Packet and Spring-Summer 2018 Player/Parent Handbook (particularly the Player Code of Conduct on page 22), and Acceptance of Commitment Contract, Terms and Conditions with your child, and have him/her digitally sign this form in agreement. I agree PLAYER FIRST AND LAST NAME:Special Notes:If you have any comments or specific information you need us to know about your registration, please note it here - thank you!CommentsThis field is for validation purposes and should be left unchanged.
