📚 BEFORE & AFTER SCHOOL ACADEMY

Program Registration

Player Name*

Age

Grade

School

Parent/Guardian Name*

Phone Number*

Email Address*

$260/week – Full Program (Before Care + School Drop-Off + Pick-Up + Aftercare + Training)

$215/week – One Way Transportation (AM Drop-Off or PM Pick-Up + Aftercare)

$190/week – No Transportation (Parent Drop-Off & Pick-Up)

Morning Drop-Off to School

Afternoon Pick-Up from School

None

✔Basketball Skills Development (Ball Handling, Shooting, Defense, Triple Threat)

✔Speed & Agility Training

✔Study Hall & Homework Help

✔Structured Supervision

Emergency Contact Name

Emergency Contact Phone

Allergies / Medical Conditions

I understand and agree to the terms of the Rising Starz Before & Aftercare Academy Program.

I agree to the waiver and consent form

Questions? Contact Us

Coach J — Rising Starz Athletes

📞 571-621-0979

📧 risingstarzathletes@icloud.com