Farmingville & Brentwood
2010-2011 LEAGUE APPLICATION
PRINTABLE APPLICATION HERE (PDF 350KB)
2010-2011 LEAGUE ON-LINE APPLICATION
Fill out the following form for each Team:
All fields marked with * are required fields. A. *Choose one of the following Leagues Divisions, by clicking on the blank circle:
B. Fill out the following information:
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
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
All fields marked with * are required fields.