Team Nikos Youth Academy 2.0 RegistrationAcademy 2.0 participants may use the following form to register and pay for monthly (unlimited) sessions & recurring billing. High School Academy 2.0 sessions are on Sunday Nights from 6 - 7:30pm.Player Name* First Last Grade Level*Select One2nd3rd4th5th6th7th8th9thBasketball Playing Experience*BeginnerIntermediate (has played in a recreation league)Advanced (has played club or other competitive level)How did you hear about us?*Google searchFacebook adsInstagramFriend or familyFlyerYard signMagazine articleOtherParent / Contact InformationName* First Last Parent Email Address* Email Confirm Email Parent Cell Phone*Emergency Contact Name* First Last (Other than parent/guardian listed above)Emergency Contact Phone*MembershipAcademy 2.0 Plan*Unlimited Academy 2.0 Trainings ($125/month - up to 16 hours)(1) Academy 2.0 Training per Week ($69/month - up to 8 hrs)Processing fee will be added at total.Recurring Payment*Do you acknowledge a recurring monthly payment for your Academy 2.0 fees? By clicking "Yes" below, you will authorize a credit card payment to Team Nikos, to take place every month from the date of this registration.YesNoAre you registering a new player for Academy 2.0?*All new Academy 2.0 players are required to purchase and wear a reversible Academy 2.0 jersey ($25) to all sessions and pay the initiation fee ($25). Please pick up your jersey the first time you attend Academy 2.0.New Player (Academy 2.0 Jersey + Initiation Fee)Returning PlayerJersey Size*(Black / White / Gold)Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXLAdditional Academy 2.0 Jersey(s)*(Black / White / Gold) – $30 ea.None(1) Additional Jersey(2) Additional Jerseys(3) Additional JerseysT-Shirt(s)*(Gray / White / Gold) – $20 ea.No T-Shirt(1) T-Shirt(2) T-Shirts(3) T-ShirtsT-Shirt 1 Size*Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXLT-Shirt 2 Size*Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXLT-Shirt 3 Size*Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXLAcademy 2.0 has a "No Refunds" policy.*a. It is the customer's responsibility to pick up their apparel at the Ladera Sports Center during an Academy 2.0 session within 30 days of purchase. b. No Refunds or warranty on all Apparel items c. No Shipping of any apparel items I understand. Credit Card InformationCredit Card* DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Signature*I understand that I am committing to a minimum of one (1) month, and to change, pause or cancel my membership, I must contact Team Nikos.Monthly Recurring Fee Subtotal (includes processing fee) $128.12Monthly Recurring Fee Subtotal (includes processing fee) $70.86Apparel & Initiation Fee Subtotal(One-Time Fee) Price: $0.00 TotalPhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.