Winter Season registration Please print all information. Player’s Name: Mother’s (or Guardian’s) Name: Home Address: Father’s (or Guardian’s) Name: Mother’s Cell Phone: Age of Player on league deadline (4/30/16): Father’s Cell Phone: Date of Birth: Grade: Home Number: School Attending: E-Mail Address: **All players new to PAA Basketball must submit a copy of certificate with this registration form**   Rec Basketball 6th Grade: Rec Basketball 2nd Grade: $125 $100 1st Grade:   5th Grade: $115 $100 Kindergarten: 4th Grade:   $115 $100 3rd Grade:  $115  $140 Rising Stars 5th Grade: Adult:    Small Large 2XL Other   Medium X-Large 3XL ** Players are responsible to purchase BLACK shorts ** Your may be photographed during league play for use in PAA promotional materials.  I consent to this I do not consent to this. Any coach will be asked to submit to a background check by a third party organization. By signing at the bottom of the Medical Release section, you acknowledge you have read and agree to its contents and provisions. VOLUNTEERS ARE NEEDED IN ALL AREAS PLEASE CHECK THE BOX OF THE AREA(S) YOU CAN HELP THE YOUTH OF PAA: –      Coaching Concessions Registration Maintenance Uniforms      Trophies Field Permits Umpiring Fundraising Sponsors NAME & NUMBER WHERE YOU CAN BE REACHED: ** Please complete the Medical Release/Agreement on Page 2** Questions: Contact Rob Smith (301-466-0700) or robert_p_smith@mcpsmd.org REGISTRATION DEADLINE Winter: October 30, 2017 – These materials are neither sponsored nor endorsed by the Board of Education of Montgomery County, the superintendent, or this school
Winter Season registration Please print all information. Player’s Name: Mother’s (or Guardian’s) Name: Home Address: Father’s (or Guardian’s) Name: Mother’s Cell Phone: Age of Player on league deadline (4/30/16): Father’s Cell Phone: Date of Birth: Grade: Home Number: School Attending: E-Mail Address: **All players new to PAA Basketball must submit a copy of certificate with this registration form** Rec Basketball 6th Grade: $125  $115  $115  $115  Rec Basketball 2nd Grade: 1st Grade: Kindergarten: Rising Stars 5th Grade: $100  $100  $100  $140  5th Grade: 4th Grade: 3rd Grade: Adult: Small  Large  2XL  Other Medium  X-Large  3XL ** Players are responsible to purchase BLACK shorts ** Your may be photographed during league play for use in PAA promotional materials. I consent to this  I do not consent to this. Any coach will be asked to submit to a background check by a third party organization. By signing at the bottom of the Medical Release section, you acknowledge you have read and agree to its contents and provisions. VOLUNTEERS ARE NEEDED IN ALL AREAS – PLEASE CHECK THE BOX OF THE AREA(S) YOU CAN HELP THE YOUTH OF PAA:  Coaching  Concessions  Registration  Maintenance  Uniforms  Trophies  Field Permits  Umpiring  Fundraising  Sponsors NAME & NUMBER WHERE YOU CAN BE REACHED: ** Please complete the Medical Release/Agreement on Page 2** Questions: Contact Rob Smith (301-466-0700) or robert_p_smith@mcpsmd.org REGISTRATION DEADLINE – Winter: October 30, 2017 These materials are neither sponsored nor endorsed by the Board of Education of Montgomery County, the superintendent, or this school
2017PAARegistrationFormBballv3Oct.docx