KK Athletics, Indoor Sports

Fill out the following form for each Team:
A. *Choose one of the following Leagues Divisions, by clicking on the blank circle:
All fields marked with * are required fields.

Leagues	Seasons
Leagues	Spring (Mar-June)	Summer (June-Sept)	Fall (Sept-Dec)	Winter (Dec-Mar)
Women	$995.00	$995.00	$995.00	$1250.00
Men	$1095.00	$1095.00	$1095.00	$1295.00

B. Fill out the following information:

Home Location*:	Farmingville Brentwood Note: (Min. 7 home games & 3 away)
Team Name/ Organization*:
Coordinator*:	This person is responsible for full payment, waivers, paper work, team first aid kit, ice packs, cell phone, etc.
Address*:
City*:
Zip*:
Phone:	Work*: Home: Cell:
E-mail address*:
Coach:	Name: Phone:
Scheduling Request (NO GUARANTEES):


C. TERMS & CONDITIONS:
1. The person registering a team as coordinator MUST be at least 18 years old and responsible for full payment of team fees. 2. All team fees are due at first game. 3. Schedules will be available at registration or at first game for teams who have paid fees in full and who have submitted complete Roster/Waiver forms. 4. All teams must provide jerseys or pennies. In the event of a conflict of jersey colors, the first team listed will change jerseys. 5. Shin guards are Mandatory for all players. 6. No one under 16 can play on an adult team. 7. A proof of age must be available upon request for all ages. 8. A $25 service charge for each returned check. 9. Payment can be made by cash, check, Visa, Mastercard or Discover. 10. There will be no refunds after registration. 11. An 18% APR will be applied to all unpaid balances and games made by forfeites. 12. If KKAthletics has to cancel games, make-up(s) will be rescheduled. *I have read and fully understand all of the above: Yes No WAIVER accepted (Waiver document - PDF 17KB): Yes No


D. *Way of Payment
Please send this application with $295.00 non-refundable deposit. Please select the way of payment:

Way of Payment	Farmingville	Brentwood
Cash	At our Farmingville location, at least one week after sending this application: 755 Horseblock Rd. Farmingville, NY 11738	At our Farmingville location, at least one week after sending this application: 181 Second Ave. Brentwood, NY 11717
Check	Make checks payable to: KK Athletics Inc. Send check to: KK Athletics Indoor Sports-Farmingville 755 Horseblock Rd. Farmingville, NY 11738	Make checks payable to: Brentwood Indoor Sports, Inc Send check to: KK Athletics Indoor Sports-Brentwood 181 Second Ave. Brentwood, NY 11717
Credit Card	Mastercard, AMEX, Visa or Discover at our locations	Mastercard, AMEX, Visa or Discover at our locations
	Tel: 631-736-2511	Tel: 631-617-5866

All fields marked with * are required fields.