skill clinics - The Jewish Federation of Omaha

SUNDAY, APRIL 19
Boys & Girls Summer Select Basketball Tryouts
4th - 8th GRADERS* | 1:00 - 3:00 PM
*According to the grade your child will be entering in Fall of 2015.
TUESDAY, APRIL 21
Teams Announced
A $250 deposit is required by Wednesday, April 29, 2015 to secure your
child’s spot on a team.
MONDAY, MAY 4
Parent/Coach Meeting, Practice Begins
• Meeting will take place 15 minutes before practice begins.
• Practice held on Mondays and Thursdays, 5:45-7:00 p.m.
TOURNAMENTS Tournaments are subject to change. SKILL CLINICS
MID AMERICA YOUTH BASKETBALL TOURNAMENT
May 22 - May 24 | Omaha, NE
JUNE 3 - JULY 1
Wednesdays, 4:00-5:15pm
MID AMERICA YOUTH BASKETBALL TOURNAMENT
June 5 - June 7 | Omaha, NE
Skill Clinics are coordinated
and led by Nick Runco and
JCC coaches. Clinics are a
great way to compliment team
practices and give players an
opportunity to enhance their
development for competition.
While clinics are optional, it
is strongly encouraged that
players take advantage of this
additional practice time.
MID AMERICA YOUTH BASKETBALL TOURNAMENT
June 26 - June 28 | Omaha, NE
MID AMERICA YOUTH BASKETBALL TOURNAMENT
July 17 - July 19 | Kansas City, MO or S. Sioux City, NE
MID AMERICA YOUTH BASKETBALL TOURNAMENT
July 24 - July 26 | Omaha, NE
FALL/WINTER TEAM TRYOUTS - SUNDAY, MAY 3, 2015
4th - 8th GRADE | 1:00 - 3:00 PM
According to the grade your child will be entering in Fall of 2015.
PROJECT LION CONDITIONING CLINIC JUNE 2 - JUNE 4, 2015
5th - 8th GRADE | 9:00 AM - 12:00 PM
Member: $105
Non Member: $131
Code: 17-0602
FOR MORE INFORMATION CONTACT:
Nick Runco, Sports Programming Coordinator (402) 590-2141 or nrunco@jccomaha.org
Lynette Brannen, Director of Athletic Programming (402) 590-2144 or lbrannen@jccomaha.org
Everyone. Every Age.
Our JCC membership is open to everyone regardless of religion.
PROGRAMMING & SERVICES
FACILITIES
• Free fitness assessments
& orientation
• 210,000 sq. ft facility
• Free group exercise & yoga
• Over 40 Freemotion &
Cybex machines
• Free Fit & Sit childcare
• Certified personal fitness
trainers & Pilates instructors
• Licensed massage therapists
& physical therapy
• Child development center
• After school care & school
break programming
• Variety of youth sports &
select basketball program
• Over 50 cardio machines
• Aerobic, Pilates, spinning, dance & yoga studios
• Health Spa
• 25 meter indoor pool &
Olympic size outdoor pool
• Two indoor tracks, designed
for runners and walkers
• Full size gymnasium with
multiple basketball courts
• Traditional dance program
• Lighted outdoor tennis
& basketball courts
• Musical theater
• Sand volleyball court
• Swim lessons & swim team
• Variety of youth summer camps
For information about JCC Membership,
contact Member Services at (402) 334-6426.
• Outdoor playground & pavilion
• Racquetball & squash courts
• Table tennis
• Youth Lounge
2015-2016 SUMMER
SELECT BASKEBALL REGISTRATION
Today's Date ______ /______ /______
Player 1 ___________________________________
rM rF
Birth date ____ /____ /____
Age______
Grade*______
Player 2 ___________________________________
rM rF
Birth date ____ /____ /____
Age______
Grade*______
*As of Fall 2015
*As of Fall 2015
Address____________________________________________________________________ Home #_____________________
Mother__________________________________ Cell #___________________ email _________________________________
Father__________________________________ Cell #___________________ email _________________________________
r Member
r Non Member
r New to Program
PRIMARY JCC MEMBER NAME: ________________________________________ CATEGORY:
r Young Adult r Family r Single Parent Family
For information about JCC Membership contact Member Services at 402-334-6426.
SUMMER SELECT BASKETBALL: PLAYER 1
SUMMER SELECT BASKETBALL: PLAYER 2
r MEMBER: $529
r MEMBER: $529
r NON MEMBER: $699
Grade (As
of Fall 2015) Team
Code
r 4
r 5
r 6
r 7
r 8
r
r
r
r
r
Boys
New Player r
Returning Player r
Boys
Boys
Boys
Boys
r
r
r
r
r
Girls17-004
Girls17-005
Girls17-006
Girls17-007
Girls17-008
Jersey #_______
r NON MEMBER: $699
Grade (As
of Fall 2015) Team
Boys
Code
r 4
r 5
r 6
r 7
r 8
r
r
r
r
r
New Player r
Returning Player r
Boys
Boys
Boys
Boys
r
r
r
r
r
Girls17-004
Girls17-005
Girls17-006
Girls17-007
Girls17-008
Jersey #_______
UNIFORM $60 (For New Players or those who wish to purchase a new uniform)
UNIFORM $60 (For New Players or those who wish to purchase a new uniform)
Shorts Shorts YOUTH:
ADULT:
r Small
r Small
r Medium
r Medium
r
r
Large
Large
YOUTH:
r
XL
Jersey YOUTH:
ADULT:
r Small
r Small
r Medium
r Medium
r
r
Large
Large
YOUTH:
r
XL
r
r
r Small
r Small
r Medium
r Medium
r
r
Large
Large
r
XL
Small
r
r Small
ADULT:
r
XL
r
XL
r Small r Medium r Large
r Small r Medium r Large r
r XXL ($23)
r 3XL ($23)
XL
Large
Large
SHOOTING SHIRT $20 (Optional)
Long Sleeve Dry Fit ADULT:
r Medium
r Medium
Jersey SHOOTING SHIRT $20 (Optional)
YOUTH:
ADULT:
r Small
r Small
Long Sleeve Dry Fit Medium
r
r Medium
r
r
Large
Large
YOUTH:
r
XL
ADULT:
r Small
r Small
r Medium
r Medium
r
r
Large
Large
Cost includes weekly practices, tournament fees, coaching fees, and skill clinics. Uniform not included.
Additional uniform fee for new players or those who wish to purchase a new uniform.
ADDITIONAL SHIRTS (Optional)
SHOOTING SHIRT $20 (XXL, 3XL $23)
SHOOTING SHIRT $20 (XXL, 3XL $23)
Long Sleeve Dry Fit Long Sleeve Dry Fit YOUTH:
YOUTH:
ADULT:
r Small r Medium r Large
r Small r Medium r Large r
r XXL ($23)
r 3XL ($23)
XL
Player’s Last Name_________________ Player’s #________
ADULT:
Player’s Last Name_________________ Player’s #________
Jewish Community Center of Omaha
AN AGENCY OF THE JEWISH FEDERATION OF OMAHA
333 South 132nd Street, Omaha, NE 68154
402.334.6426 | www.jewishomaha.org
PAYMENT
DEPOSIT $250
A $250 deposit per player is required by
Wednesday, April 29, 2015 to secure your
child’s spot on a team. Full payment can be
made at time of registration.
MEMBER:
$529
Balance after deposit: $279
If only paying deposit of $250 at registration, the
remaining amount will be split into 2 equal payments of
$139.50 and processed on the 1st of June and July 2015 by
automatic bank withdrawal or credit card. All fees must be
paid in full by Sunday, July 1, 2015.
Player 1 r Payment Plan r Full Pay
____INITIAL
Player 2 r Payment Plan r Full Pay
____INITIAL
NON MEMBER:
$699
Balance after deposit: $449
If only paying deposit of $250 at registration, the
remaining amount will be split into 2 equal payments of
$224.50 and processed on the 1st of June and July 2015 by
automatic bank withdrawal or credit card. All fees must be
paid in full by Sunday, July 1, 2015.
Player 1 r Payment Plan r Full Pay
____INITIAL
Player 2 r Payment Plan r Full Pay
____INITIAL
UNIFORM (If applicable, one time fee)
$60
Player 1$_______
Player 2$_______
SHOOTING SHIRT
(Optional)
____QTY(Youth S-Adult XL) x $20ea. $_______
____QTY(Adult XXL, 3XL) x $23ea.
TOTAL
$_______
$
PAYMENT OPTIONS
r VISA
r Mastercard r Discover
Card#____________________________________
Exp. Date_____________________ CVV#_______
JCC USAGE ______INITIAL
I have requested permission to use the services and equipment of the fitness facility
and/or participate in programs at the Jewish Community Center of Omaha (the "JCC")
located in Omaha, Nebraska. I acknowledge that the use of services and facilities and/
or participation in programs is subject to the JCC rules and regulations, as modified from
time to time, with which I agree to comply.
It is understood and agreed that the JCC reserves the right to revoke any membership
or terminate any program participation, in the event of inappropriate behavior, failure to
follow safety rules and/or disruptive behavior to members or staff, and/or failure to remain
current on membership or program obligations.
NON MEMBER USAGE ______INITIAL
Nonmember players will have limited access to the JCC Campus. Nonmember players are
ONLY allowed to participate in JCC Basketball programming. The basketball gymnasium
will be available for nonmember use ONLY during scheduled select basketball practice
or game times. Nonmember players who wish to use the JCC at any other times will be
subject to a $10.00 guest fee per day. Questions regarding JCC membership may be
directed to Member Services at 402-334-6426.
PARENT PERMISSION ______INITIAL
As the parent/legal guardian of the child/children listed on this application, I take full
responsibility for the actions of the child/children. I have signed this parent permission form
and understand that I am fully responsible for their actions. I hereby give permission for my
child(ren) to participate in JCC activities. In the event that I cannot be reached, I hereby
give permission to the JCC to act on my behalf to have medical treatment administrated
to my child(ren) in the event of an emergency. I understand that I will be fully and directly
responsible for the cost of medical attention. I further understand that the Omaha JCC
reserves the right to restrict or to remove persons from activities when appropriate.
PAYMENT FEES ______INITIAL
I have read the payment information and I assume financial responsibility for all Select
Basketball fees. Should you elect to pay by installment, please make payment arrangements
with Laura Wine at 402-334-6419 so that your payments are received before payment
due date. I understand that failure to pay fees by the due date will result in loss of play
time for my child. Fees are nonnegotiable/nontransferable. Refunds will not be given if
your child chooses not to finish the season. There are no fee reductions for absences,
family vacations or holidays. Questions regarding payment fees may be directed to the
JCC business office at 402-590-2148.
RELEASE ______INITIAL
I understand that any JCC activity and use of recreational and workout facilities involves
the risk of accidental injury despite all safety precautions. On behalf of myself and my
family, as a consideration and a condition of my/our participation in the JCC Basketball
program, I understand that attending and using the facilities of the JCC is done at my/our
own risk. I/we agree that I/we will not hold the JCC responsible for any damages arising
from any injury or loss sustained or incurred by me/my family caused by any negligence
or gross negligence in, on, or about the premises of the JCC.
PUBLICITY/PROMOTIONS ______INITIAL
The Omaha JCC reserves the right to photograph members and guests and use these
photographs for marketing purpose, including but not limited to insertion on the Omaha
JCC's website, newsletters, program promotions, Facebook page and other social media
networks.
ADDITIONAL CONDITIONS ______INITIAL
Criminal History: The applicant acknowledges that it is the policy of the Omaha JCC to
deny participation in JCC programs to any individual convicted of a sexual offense.
Cell Phone/Video Taping: Due to advances in video equipment and telephone video
technology, and for the safety and security of our members and guests, any and all video
equipment may not be used in locker rooms, dressing areas, shower areas, restrooms, or
other areas generally deemed to be "private" within JCC facilities.
I/WE HAVE CAREFULLY READ THIS INSTRUMENT AND FULLY UNDERSTAND ITS
CONTENTS. I AM/WE ARE AWARE THAT THIS IS A RELEASE OF LIABILITY AND
A CONTRACT WITH JCC, AND HAVE SIGNED IT OF MY/OUR OWN FREE WILL.
Sign________________________________________________________
Billing Zip Code: ___________________ (required)
Bank Draft: r Checking
r Savings
Print__________________________________ Date_____/_____/______
Bank______________________________________
Routing #__________________________________
Account #_________________________________
FOR OFFICE USE ONLY
r Charge to my credit card on file at the JCC
date received_____ payment plan_____ deposit received_____ initials______
Revised 4-15-15