Wrestling Lacrosse
Information
HYAA Home Page
 

HYAA 2016 BASKETBALL Registration Form

Select League Boys Basketball Girls Basketball
       
Youth's Name
Last
First
     
Address
Holmdel, NJ
NOTE: THIS REGISTRATION IS ONLY AVAILABLE FOR
RESIDENTS OF HOLMDEL, NJ
Zip Code
 
Birth Date
Grade (2016-17)
T-Shirt Size
Youth
Adult
  1. Fitness
    I am personally satisfied as to my youth's fitness to participate in this activity. HYAA strongly recommends that you seek professional medical advice if there is any doubt about your youth's fitness to participate in this activity.
  2. Requests
    HYAA does not promote, encourage or guarantee players requests. We try our best to be sensitive to unique individual circumstances. However, with a program that serves over a thousand children, it is not practical or logistically possible to honor every request. If you have a particular concern other than carpool convenience or playing with friends, please discuss with our administrators at the time of registration.
  3. Volunteers
    HYAA is a volunteer organization; you must volunteer for one of the assignments below in order for your registration to be complete.

    Please prioritize your choice of volunteer assignments by selecting from the lists below:

    1. 2. 3.

    Note: Rutgers Training Program and Kid Safe Screening are MANDATORY for all coaches and assistant coaches. Courses and screenings will be scheduled prior to and during the season.

  4. Emergency Contact
    In Emergency situations you should contact

Father 

Mother 

Primary Phone 

Secondary Phone 

 Parent's Email 

   
Fees
Registration Fee All Grades

$115

 

$50 Late fee will be added after Nov 18

       
Sibling Discount First Child
($0)
  Second Child
($10)
Each Additional Child

($15)

       
Association Fee Payable once per family per year (HYAA year is Sept - Jun)

$25

         
Total Amount Due (3% convenience charge)..............$

Submitting this registration form will reserve your child's spot for this season. However, the registration will not be processed until payment is received. PAYMENT FOR ONLINE REGISTRATIONS CAN ONLY BE MADE BY CREDIT CARD. After you click SUBMIT below you will be prompted for your credit card information via our secure payment form.

NOTE: Basketball Commissioners reserve the right to move players among teams to ensure league balance and fairness of play.


CODE OF CONDUCT

I certify that the above information is true and correct to the best of my knowledge. I further certify that I have read, understand, and agree, on behalf of my entire family, to comply with the HYAA Code of Conduct and all HYAA policies.

I understand that while every effort is made by the volunteers to protect the safety of the participants, HYAA assumes no responsibility for any injuries or accidents that may occur. Each individual participating is doing so at his or her own risk and by submitting this form agrees to release HYAA from any and all liability with respect to any injury or accident which may occur at the facilities.


Credit card required to submit online registrations