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Newfields Youth Athletic Association
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2025 Basketball Registration - Please Register by Nov 1st
2025 Winter Basketball Registration
Preliminary Schedule: Early December to late January (6 game Saturdays)
NEW OFFERING: OPEN GYM
One hour of free play separate from the hour of league play. Children signed up for the league can also enjoy the extra hour of Open Gym at no extra cost. Or sign your child up for Open Gym only.
Questions: newfieldsathletics@yahoo.com
PLAYER INFORMATION
*
First Name:
*
Last Name:
*
Street:
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City:
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State:
*
Zip Code:
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Home Phone:
*
Grade:
*
Age:
*
Date of Birth:
Jan
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Email:
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Gender:
M
F
PARENT/GUARDIAN NAMES
*
Firstname:
*
Lastname:
*
Email:
Home Phone:
Work Phone:
Cell Phone:
VOLUNTEER AS COACH (ALWAYS NEEDED)
Name:
Preferred Age Group:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Child's Physician:
*
Address:
*
Phone:
*
Allergies:
*
Medications:
Other:
WAIVER INFORMATION
I give my permission for my child to participate in the Newfields Youth Athletic Association's (NYAA) program. This may include practices, games, fundraising, and any other league-sponsored events. I acknowledge that there are risks inherent in playing sports, which could cause personal injury to my child. I assume all risks on behalf of my child and release the NYAA, coaches, league representatives, and officials from liability for all such injuries that may occur to my child during practices, games, and travel to and from the events and any other league-sponsored activity.
I acknowledge that as a parent or guardian of the above-mentioned child, I am solely responsible for the safety of my child while going to or coming from any practice, game or any league-sponsored activity.
I understand that every reasonable effort will be made to contact me in the event of illness or injury while my child is participating in any activities involving the NYAA. However, if I cannot be reached in a timely manner, I authorize my child coach or other league representative to obtain any medical treatment deemed necessary for my child.
I understand the NYAA reserves the right to photograph facility, activity, and program participants at any and all NYAA-sponsored events for potential future use. I understand that NYAA will not publish children's names. All photos will remain the property of the NYAA and may be used in future newsletters, Facebook, websites, or news releases for promotional purposes for NYAA. If you do not wish to have your child's photo taken, please notify a Board member or instructor in writing.
By checking below, I acknowledge that I understand all of the above information, and I agree to comply with all league requirements.
I/we agree with the above
*
I authorize any of my child's coaches or other league representatives, in the absence of myself or other legal guardians, to seek medical attention for my child. This can include, but is not limited to, x-ray examination, anesthetic, medical or surgical diagnosis and treatment if deemed necessary. Such care may be rendered to the minor, at a recognized facility, under the general or special supervision of a licensed physician or surgeon.
Check Here if you accept the above statement
* indicates required fields
SELECT FEE
$90 - per Pre-K/K Player
$80 - per Pre-K/K Player - Additional Sibling
$100 - per 1/2 Player
$80 - per 1/2 Player - Additional Sibling
$110 - per 3/4 Player
$80 - per 3/4 Player - Additional Sibling
$25 - Open Gym (Pre-K thru 4th grade)