Midland Park 2009-2010 Basketball Association
Travel Registration Form
Mail in Form BEFORE OCT 1st, 2009
M.P.B.A P.O Box 459 M.P. NJ 07432
Season Runs: Nov - March
WWW.MIDLANDPARKSPORTS.COM/MPBA
TRAVEL PROGRAM
* Family Max $200 (Travel programs only; Recreation Ball is a separate Fee/Family Max)
Please circle one of the below categories: Registration Fee:
Robins: Boys and Girls in 3rd & 4th $120
Juniors: Boys and Girls in 5th & 6th; $120
Seniors: Boys and Girls in 7th & 8th $120
PLAYER INFORMATION
First Name _______________________ Last Name ___________________________________
Date of Birth ________ Age _____ Height _________ Gender: Boy or Girl (Circle one)
Address __________________________ Town __________________
Phone # ___________________________ Grade in Sept 2009 _________________
Parent Information – Please Print Full Name of Parent or Guardian
Name________________________________ Phone # _________________________
Name________________________________ Phone # _________________________
Email ____________________________________________________________________
Parent / Guardian Signature:________________________________________________
PLEASE Mail in Form BEFORE 10/1/09 to
M.P.B.A P.O Box 459, Midland Park NJ 07432
For any questions please email Hotshotsrf@optonline.net
Midland Park Basketball Athletic Code of Conduct
Interscholastic and youth sports programs play an important role in promoting the physical, social and emotional development of children. It is therefore essential for parents, coaches and officials to encourage youth athletes to embrace the values of good sportsmanship. Moreover, adults involved in youth sports events should be models of good sportsmanship and should lead by example by demonstrating fairness, respect and self-control towards coaches, volunteers, players, spectators and each other. It is also important for the board to represent the association and Basketball community in good faith by following and maintaining proper behavior and etiquette in all phases of recreation and travel basketball.
I therefore pledge to be responsible for my words and actions while attending, coaching, officiating or participating in any Midland Park recreation and/or travel basketball event and shall conform my behavior to the following code of conduct:
1. I will not engage in unsportsmanlike conduct with any coach, parent, player, participant, official, or any other attendee.
2. I will not encourage my child, or any other person, to engage in unsportsmanlike conduct with any coach, parent, player, participant, official or any other attendee.
3. I will not engage in any behavior, which would endanger the health, safety or well being of any coach, parent, player, participant, official or any other attendee.
4. I will not encourage my child, or any other person, to engage in any behavior, which would endanger the health, safety or well being of any coach, parent, player, participant, official or any other attendee.
5. I will not engage in the use of profanity.
6. I will not encourage my child, or any other person, to engage in the use of profanity.
7. I will treat any coach, parent, player, participant, official or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation or ability.
8. I will encourage my child to treat any coach, parent, player, participant, official or any other attendee with respect regardless of race, creed, color, national origin, sex, sexual orientation or ability.
9. I will not engage in verbal or physical threats or abuse aimed at any coach, parent, player, participant, official or any other attendee.
10. I will not encourage my child, or any other person, to engage in verbal or physical threats or abuse aimed at any coach, parent, player, participant, official or any other attendee.
11. I will not initiate a fight or scuffle with any coach, parent, player, participant, official or any other attendee.
12. I will not encourage my child, or any other person, to initiate a fight or scuffle with any coach, parent, player, participant, official or any other attendee.
I hereby agree that if I fail to conduct myself to the foregoing I will be subject to disciplinary action, including but not limited to the following in any order or combination:
1. Verbal warning issued and or written warning issued.
2. Suspension or immediate ejection. Forfeiture of Coaching Rights and Board Position for one year
3. Season suspension issued. Permanent forfeiture of Coaching Rights and Board Positions
In addition, I hereby realize that I will not be permitted to attend a Midland Park recreation and/or travel Basketball event without signing below. Board Members, Coaches and Managers will forfeit their positions by failing to sign.
Father’s Name __________________________
Signature __________________________
Date __________________________
Mother’s Name ___________________________
Signature ___________________________
Date ___________________________