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2024 Allamuchy Basketball Registration
Registration Fee:
The cost is $75 fee for the first child, $35 fee for the second child and $15 for each additional child.
The fee is utilized to defray a portion of the costs of the total operation of the recreational programs.
Payment must be made thru Stakpay at time of registration.
PLAYER INFORMATION
*
Name:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
*
Gender:
M
F
Select the grade the player will be in, as of September of 2024 (current grade)
*
Grade Level in Sept 2024:
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
*
Will the player be playing on a travel team in 2024:
No
Yes
If player is a travel player, what team/coach is he/she playing for travel?
Uniform Size
*
Shirt Size (shirts run small):
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
VOLUNTEERS ALWAYS NEEDED
FORMATION OF TEAMS DEPENDS ON HAVING PARENTS / ADULTS HELP COACH. THE TEAMS CAN ONLY EXIST WITH RESPONSIBLE PARENTAL / ADULT INVOLVEMENT.
Background checks will be required
*
Please choose one:
No
Yes - Coach
Yes - Assistant Coach
PARENTS/GUARDIANS INFORMATION
*
Name:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Cell #:
*
EMail:
MEDICAL/EMERGENCY CONTACT INFORMATION
Does your child have any physical or medication limitations his/her coach should be aware of?
*
Yes or NO:
Yes
No
If yes, please describe::
In the event of a medical emergency the following person maybe contacted if the parent/guardian cannot be reached.
*
Name:
*
Cell #:
Is the contact person AUTHORIZED to permit emergency treatment?
*
Yes or No:
Yes
No
As this child parent/legal guardian,I give my permission for my child to receive reasonable emergency medical treatment, or be transported to the hospital to receive same.
*
Yes or No:
Yes
No
Insurance Policy Information
*
Insurance Co.:
*
Policy #:
WAIVER INFORMATION
Parental Consent
My child has expressed interest in playing soccer this season. As this child's parent or legal guardian, I give my permission for him/her to do so. I agree that my child will be assigned to a team, to be determined by grade.
I understand that I am responsible for my own, my child's, my family, or any guests’ conduct while attending Allamuchy Recreation events. This includes reimbursement to the Township of Allamuchy for any damage willfully caused by my family or guests to the Allamuchy School and/or Township property. My family agrees to abide by the Allamuchy Recreations Rules of Conduct and good sportsmanship. I will also abide by any reasonable disciplinary action due to behavioral problems.
I/We agree with the PARENTAL CONSENT
*
Parental Code of Conduct
1. I will encourage good sportsmanship by my actions, demonstrating positive support for all players, coaches, and officials at every practice and competition.
2. I will place the emotional and physical well-being of my child and others ahead of my desire to win.
3. I will encourage my child to play in a safe and healthy environment by maintaining a respectful and courteous attitude to others.
4. I will promptly inform my child’s coach of any physical/mental disability or challenge affecting my child that may affect the safety of my child or others.
5. I will teach my child that doing his/her best is more important than winning.
6. I will do my best not to ridicule, bully, blame, or yell at my child or other players, coaches, officials or volunteers in response to a poor performance or for any other reason.
7. I will do my best to make playing fun at all times and will remember that my child participates in sports for his/her own enjoyment and satisfaction.
8. I will teach my child to treat other players, coaches, fans, volunteers, officials, and staff with respect. I will also take action and report any acts of bullying, harassment or abuse to the appropriate authorities.
9. I will applaud any effort in both victory and defeat emphasizing positive accomplishments and learning from mistakes.
10. I will teach my child to resolve conflicts calmly and peacefully without resorting to hostility or violence.
11. I will be a positive role model for my child and others.
12. I will demand a participation environment for my child that is free of drug or alcohol abuse.
13. I will respect my child's coach and refrain from “side line” coaching my child or other players.
14. I will respect the decisions of officials, their authority and decisions during competitions and teach my child to do the same.
15. I will show appreciation and recognize the importance of volunteers and club officials.
16. I will become familiar with the rules of Allamuchy Recreation and the league and teach my child accordingly.
17. I will support and respect all players and their right to participate.
I/We agree with the PARENTAL CODE of CONDUCT
*
Coach & Parent/Guardian Meeting
Parent/Guardian must take an active and positive role in their child's youth sports experiences. Parent/Guardian will be required to attend a Coach & Parent/Guardian meeting. The meeting will cover the following areas:
1. youth sports philosophy,
2. program goals,
3. expected behaviors and responsibilities,
4. sport specific information.
A child will not be allowed to participate if their parent/guardian refuses to attend the Coach & Parent/Guardian meeting.
I/We agree to attend the Coach & Parent/Guardian meeting
*
Any problems completing the registration email Mike Pucowski at
recreation@allamuchynj.org
* indicates required fields
SELECT FEE
$75.00 - 1st Family Member Register
$35.00 - 2nd Family Member Register
$15.00 - 3rd Family Member Register
$00.00 - 4th and any additional Member Register