Upward Basketball and Cheerleading at Apopka Calvary Nazarene

Complete form below and click "Register" to sign up

Cost for basketball (per child) is $80 ($95 after November 4, 2011)
Cost for cheerleading (per child) is $80 ($95 after November 4, 2011)
Deadline for Registration is December 15, 2011 - Register today!

If you would like to PAY Online using your Debit or Credit Card, Checking or Savings Account, CLICK HERE!

To pay by check, make checks payable to Calvary Church of the Nazarene.
Bring check to church office Monday-Friday, 9 am - 4 pm.
Please note, there is a $25 service charge added for any returned checks.

If you would like to download and print a Registration Form, CLICK HERE
Upward Sports at ACN

Participant Contact Info:
(Please fillout one form for each child)

I am registering my child for: 
Last Name
First Name
 MI
Gender
  Grade (2011-2012 School Year)
Date of Birth
 (Month / Day / Year)
Street Address
City  
State Zip 
Home Phone
Cell Phone
Parent's Email
Church
(Name of church if you regularly attend one)
How many years has your child played basketball?
If applicable, indicate ONE night your child CANNOT practice.
Player information notes (if any)
 

Parent/Guardian Information:
Father/Guardian
Work Phone
I would like to assist by being a
  Coach       Refreee       Team Parent
Mother/Guardian
Work Phone
I would like to assist by being a
  Coach       Refreee       Team Parent
Emergency Contact
Daytime Phone
Evening Phone

Please note: When you bring your child for Orientation you will be required to sign an Authorization and Release of Liability/Consent to Medical Treatment form in order for your child to participate in Upward Sports at Apopka Calvary Nazarene. A link to an online copy of that form will be available after clicking the "Register" button below.

Thank you for allowing your child to participate in Upward Sports at Apopka Calvary Nazarene. It is going to be a GREAT Season!
Apopka Calvary Nazarene
750 Roger Williams Road
Apopka, FL 32712
Phone: 407-889-2148
www.CalNaz.org
Upward Basketball and Cheerleading
Evaluation/Orientation - Saturday, Dec. 3, 2011
Practices Begin Monday, January 9, 2012
First Game is Saturday, January 21, 2012
Final Game is Saturday, March 10, 2012
Award Celebration is Saturday, March 17, 2012