Academy Registration – Monthly/Recurring Billing

TEAM NIKOS ACADEMY REGISTRATION
Academy participants may use the following form to register and pay for a monthly (unlimited) sessions & recurring billing.
Player Name*
First Last
Grade Level*
Level of Basketball Playing Experience*
Parent / Contact Information
Parent/Guardian Name*
First Last
Parent Email Address*
Enter Email Confirm Email
Parent Cell Phone*
Emergency Contact Name*
(Other than parent/guardian listed above)
First Last
Emergency Contact Phone*
Payment
Are you registering a new player for Academy?*
- Yes
- No
Academy Jersey
All Academy participants are required to purchase a reversible Academy jersey and wear it to Academy sessions. The jerseys are $25.00 each.Please pick up and pay for your jersey the first time you attend Academy.If you are purchasing an Academy jersey, please select size for your player.
Monthly Sessions*
Select the number of hours/month you would like to register for.
Coupon Code
If you have a coupon code, please enter it above.
Recurring Payment*
Do you acknowledge a recurring monthly payment for your Academy fees? By clicking "Yes" below, you will authorize a credit card payment to Team Nikos, to take place every 30 days from the date of this regsitration.
- Yes
- No
Click here to download the Team Nikos Basketball Academy Liability Waiver
Total
$0.00

TEAM NIKOS ACADEMY REGISTRATION