Teleos Preparatory Basketball Club
NAME OF STUDENT: ____________________________________ Grade & Section:
CONTACT EMAIL: ___________________________________________ (This email will be used for all contact information between the school, coach, parents, and player during the season!)
CONTACT PHONE #: ____________________________________________
START DATE: 9/13/2016
WHEN: Tuesdays and Thursdays
WHERE: Teleos Gym
WHO: ANY 5th-8th Grade Students
* Strength and Conditioning, Ball Handling, Basic Basketball Skills
* Teleos Intersquads
* Overall better understanding of the game of basketball
THE REGISTERING STUDENT MUST READ, SIGN, AND DATE THE FOLLOWING STATEMENT!
As a student at Teleos Preparatory Academy I acknowledge that participating in athletics is a privilege, not a right, and I commit to exhibit exemplary behavior both in and out of the classroom and remain in good academic standing to preserve this privilege. If at any time my coach or teachers believe that I have not lived up to this standard of behavior, I acknowledge that my coach and/or athletic director has the right to take away this privilege and remove me from my current athletic team with no refund of my activity fee.
Student Signature: _________________________________________Date:________________
I HEREBY GIVE MY PERMISSION FOR MY CHILD TO PARTICIPATE IN THE SELECTED ACTIVITY. I UNDERSTAND THAT TRANSPORTATION TO AND FROM PRACTICES & GAMES IS THE SOLE RESPONSIBILITY OF THE PARENT. I AGREE TO PAY A DAMAGES FEE OF $100 FOR ANY UNIFORM THAT IS NOT RETURNED IN ITS PROPER CONDITION. ALL ATHLETIC INFORMATION CAN BE FOUND ON THE TELEOS PREPARATORY ACADEMY WEBSITE AT www.teleosprep.org
Parent/Guardian Signature: ___________________________________ Date:_________________
ANY FORMS THAT ARE NOT SIGNED BY BOTH THE STUDENT & PARENT WILL NOT BE ACCEPTED!
If you have any questions, please contact Coach Taylor at email@example.com.