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 [email protected] 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:
City, State, Zip:
Birth Date &
Age:
Home Phone:
Gender:
Parent/guardian
name (print):
Parent/guardian
signature:
Parent Cell:
Email:
AGE GROUP please circle:
Weight:
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