2011 Suffolk County Boy's Basketball

 32nd Annual Coaches Academy

Sponsors: Suffolk County PAL • Suffolk County Basketball Coaches Association

When: Sat Sept 17 & Sat Sept 24 • Underclassmen 5pm to7:30 • Seniors 7:30 to 10:00

Where: September 17th @ Suffolk CCC Brentwood Campus, Brentwood

     September 24th @ Suffolk CCC Ammerman Campus, Selden

PLEASE NOTICE THE TWO DIFFERNET LOCATIONS OF THE ACADEMY

Fee: $70.00 Checks payable to Suffolk County Basketball Coaches Association

Please mail to this address:                SCBCA Coaches Academy

15 Houghton Boulevard,

Stony Brook, NY 11790

Phone: 631 235 2902

The SCBCA Coaches Academy offers:

• Individual instruction & skill development from top coaches

• Exposure to high levels of competition & Academic & Athletic Goals

REGISTRATION MUST BE RECEIVED BY Tuesday Sept 10th, 2011

REGISTRATION

GRADE____ GPA_______HEIGHT_____WEIGHT_____POSITION_____

NAME____________________________SCHOOL_____________________

ADDRESS____________________________________

TOWN/ZIP____________________________________

PHONE________________EMERGENCY CONTACT #________________

EMAIL_______________________________________

HS COACH NAME_____________________________

HS COACH'S CONTACT NUMBER_______________________________

The SCBCA,Inc reserves the right to dismiss any player who do not act in the best interest of the school

I/we the parents/guardian of the above named child hereby give our consent for participation at the above activity and do claim that he is in perfect physical condition to participate in such activity. Furthermore I/we the parents/guardian of the above named candidate for a position on a league team hereby give my/our approval to his participation in all league/team activities during the current season. I/we assume all risks and hazards incidental to such participation including transportation to and from the activities. I/we do hereby waive, release, absolve indemnify and agree to hold harmless the SCBCA Academy, associated organizations, the organizers, sponsors, supervisors, participants and persons transporting my son to or from activities, for any claim arising out of injury to my son, except to the extent and in the amount covered by accident or liability insurance.

                             Parents/Guardian Signature__________________________Date___________