2013 Basketball Stars of America AAU Summer Programs & Camps Registration Form:
Name: ______________________________________ Date of Birth: _______________
Age: ________ Grade entering: ________ School: ______________________________
Height: ____ Primary Position: ___ Uniform Size: _____ Sneaker Size: ____ Sex: Male/Female
Home Street Address: _____________________________________________________
City: ____________________________________ State: ________ Zip: ___________
Cell Phone Numbers: ____________________________________________________
Home/Work Phone Numbers: _____________________________________________
Email (s): ____________________________________________________________
If Registering for Summer AAU Program:
Which Practice Site do you prefer? (You may check off the one you want or rank them if more than one will work)
_____ North/West: Sewickley Academy, North Allegheny & Aquinas Academy (Gibsonia)
_____ South: Hillcrest Christian Academy
_____ East: Monroeville Sports Center
Which Summer League are you registering for?
_____ Junior NIT League (Boys & Girls entering 1st & 2nd Grade)
_____ NIT League (Boys & Girls entering 3rd & 4th Grade)
_____ NCAA League (Boys entering 5th & 6th Grade)
_____ NBA East League (Boys entering 7th & 8th Grade)
_____ NBA West League (Boys entering 9th through 12th Grade)
_____ WNCAA League (Girls entering 5th & 6th Grade)
_____ WNBA East League (Girls entering 7th & 8th Grade)
_____ WNBA West League (Girls entering 9th through 12th Grade)
Do you have any Teammate or Coach Requests? _______________________________
(These are not guaranteed!)
Are you registering for any Boot Camps?
Number of Programs: ___ 1 ($35) ___ 2($70) ___ 5 ($150) ___ Unlimited ($250)
Please List Dates & Sites: _______________________________________
If Registering for Summer Day Camps:
Which Day Camps are you registering for?
_____ June 24 to 27 - North Allegheny Intermediate School - 350 Cumberland Rd, Pittsburgh, PA 15237
_____ July 8 to 11 - Hillcrest Christian Academy - 2500 Bethel Church Rd, Bethel Park, PA 15102
_____ July 15 to 18 - Monroeville Sports Center - 855 MacBeth Drive, Monroeville, PA 15146
_____ July 22 to 25 - North Allegheny Intermediate School - 350 Cumberland Rd, Pittsburgh, PA 15237
_____ July 29 to August 1 - Hillcrest Christian Academy - 2500 Bethel Church Rd, Bethel Park, PA 15102
_____ August 5 to 8 - Kiski Prep School - 1888 Brett Lane, Saltsburg, PA 15681
_____ August 12 to 15 - Monroeville Sports Center - 855 MacBeth Drive, Monroeville, PA 15146
If Registering for Summer Overnight Camps:
Which Overnight Camps are you registering for?
_____ July 15 to 18 - Basketball Stars College Prospect Week & Junior Elite Week at Slippery Rock University - 1 Morrow Way, Slippery Rock, PA 16057 (NCAA Certified Live Event!)
_____ August 5 to 8 - Basketball Stars Elite Skills Camp at Kiski Prep School - 1888 Brett Lane, Saltsburg, PA 15681
_____ August 8 to 10 - Basketball Stars Point Guard Academy, Shooting & Scoring Academy and Post Player Academy at Kiski Prep School - 1888 Brett Lane, Saltsburg, PA 15681
If Registering for Summer Showcases:
Which Showcases are you registering for?
_____ Recruiting Showcase - Thursday, July 18th at Slippery Rock University - 1 Morrow Way, Slippery Rock, PA 16057 (NCAA Certified Live Event!)
_____ Junior Elite Showcase - Thursday, July 18th at Slippery Rock University - 1 Morrow Way, Slippery Rock, PA 16057
_____ Recruiting Showcase -Thursday, August 8th at Kiski Prep School - 1888 Brett Lane, Saltsburg, PA 15681
_____ Junior Elite Showcase -Thursday, August 8th at Kiski Prep School - 1888 Brett Lane, Saltsburg, PA 15681
For All:
BSA Gear Options: ___ BSA Jersey ($25) ___ BSA T-Shirt ($10) ___ BSA Shorts ($25) ___ BSA Dry Fit Shirt ($25) ___ BSA Sneaker Bag ($15) ___ BSA Duffel Bag ($25) ___ BSA "TEAM" Wristbands ($1) ___ BSA Nike Hoodie ($35) ___ BSA Nike Sweatpants ($30)
Discount Code (If applicable): _________________
Waiver: I understand that I am enrolling my child in the Basketball Stars of America AAU Program and that the Basketball Stars of America, Coach Daryn Freedman or any facilities that are used or any coaches will not be liable for any injuries incurred during participation in the program. I also understand that there are no refunds for the Tryout Fee or Tuition Fee! If a player is injured and can't continue, he or she will receive a prorated credit towards another BSA program.
Signature of Parent/Guardian: _______________________________ Date: ______________
Please mail completed registration form along with a check made out to: Basketball Stars of America LLC To: Basketball Stars of America LLC, c/o Coach Daryn Freedman, 547 Burkes Drive, Coraopolis, PA 15108