PAPA/PBRD Summer Basketball League Registration Form 2017

The PAPA/PBRD Summer Basketball League is a co-ed league opened to all youth ages 7-17. All games take place at Reservoir Park Courts or C’Jons Saunders Park. The first games will be played on Father’s Day, June 18, 2017 at the Father’s Day community Celebration, Reservoir Park Courts. Subsequent games will be played on Sundays throughout July and August. Some games may be played on Wednesday evenings depending on the number of teams and if there are any rainouts.

PASD Residents / Non-PASD Residents
Registration Fee / $40 / $50

Financial Aid Discounts are available on a sliding scale basis by contacting the Dolores Winston at Phoenixville Recreation Department office (610- 933-7728).

Deadline is June 2rd – No exceptions

$10 Late Fees will be added after May 20th

If you have any questions, please contact or 610-983-4110

****MANDATORY TRYOUTS ARE Wednesday MAY 31ST & Thursday JUNE 1st ****

7-10 @ 6PM / 11-13 @ 6:20PM / 14-17 @ 6:40PM

ALL PLAYERS MUST ATTEND 1 DAY OF TRYOUTS

ALL TRYOUTS ARE AT RESERVOIR PARK

Child’s Name: / Medical Info (Asthma etc):
Street Address: / Height: / Weight:
City, State, Zip: / Birth Date & Age:
Home Phone: / Gender:
Parent Cell: / Parent/guardian name (print):
Email: / Parent/guardian signature:

AGE GROUP please circle: 7-10 year old 11-13 year old 14-17 year old

SHIRT SIZE please circle: CHILD SIZE: SMALL MEDIUM LARGE

SHIRTS DO RUN SMALL and are TRUE TO SIZE – there are no exchanges once t-shirts are ordered

ADULT SIZE: SMALL MEDIUM LARGE XL XXL XXXL

RATE BASKETBALL ABILITY (1=Advanced, 2=Some Experienced, 3=Little Experience or Beginner): ______

LIST BASKETBALL EXPERIENCE: ______

Please read the statements below and initial your acceptance:

_____ I hereby consent to and authorize the use and reproduction, in print or electronic format by Phoenixville Area Positive Alternatives (PAPA) or anyone authorized by PAPA, of any and all photographs which are taken of my child(ren) during the program for any publicity purpose, without compensation. All images—electronic, negatives and positives, together with the prints, are owned by PAPA. By checking this box, I give my consent and acknowledge that I am the parent or legal guardian of the registered child.

_____ I acknowledge that I have read and agree to abide by the Parent Code of Conduct (on the back).

_____ I hereby authorize the Supervisors of the PAPA Summer Basketball League to act for me according to their best judgment in any emergency requiring medical attention. (All efforts will be made to contact the parents first.) I hereby waive and release the Phoenixville Recreation Commission and Staff, PAPA staff and volunteers from all liability for any injuries that may occur during participation in the basketball program, or arising out of my child traveling to the program.

Please mail checks made payable to: or Registrations will be taken at the Phoenixville

PAPA Recreation Department (Civic Center)

400 Franklin Ave. Suite 226, Phoenixville 19460 123 Main Street, Phoenixville 19460

PAPA Summer League

Co-Sponsored by the Borough of Phoenixville Recreation Department

Parent Code of Conduct

1.  I understand that as the parent(s)/guardian(s) of a child who participates in PAPA/PBRD league, I am bound by this code of conduct:

2.  I will teach my child/children to play by the rules. I will place the emotional and physical well being of all players and spectators ahead of my personal desire to win.

3.  I will help my child toward skill improvement and sportsmanship.

4.  I will not criticize or permit or encourage my child to criticize any persons including players, managers, coaches, referees, or spectators at any practices, games, tournaments, or program events.

5.  I agree that I will not coach from the sideline or the stands.

6.  I will set a good example by speaking only positive things about my child/children’s team and teammates.

7.  I understand the importance of respecting the judgment and expertise of my child/children’s coach(es) when it comes to positions and playing time.

8.  I understand that disagreements with the coach or official do not belong on the basketball court. I will raise questions, input and positive suggestions to the coach and/or league staff in an adult atmosphere.

9.  I understand that if my child/children or I have an issue with one of the coaches or another team related matter, I will address it by observing the proper chain of communication. FIRST, I will speak with the coach, but if I am unsuccessful, then I will go to the league director.

______

Parent/Guardian Name (Print) Parent/Guardian Signature

______

Child/Children’s Name (s)

______

Date