Student's Name *
Student's Name
Parent's Name *
Parent's Name
Parent's Cell Phone *
Parent's Cell Phone
Emergency Contact *
Emergency Contact
Emergency Contact (Cell Phone) *
Emergency Contact (Cell Phone)
Student's Date of Birth *
Student's Date of Birth
Address *
Address
Gender: *
Does your child play on a New Heights Team? *
Are you interested in learning more about our shuttle bus option? *
Subsidized shuttle service may be available on a first come, first come basis from Far Rockaway & downtown Brooklyn depending on demand. Please make a note on the registration form when registering. There is an additional shuttle fee per child.
Has your child previously attended Summer Academy? *
Is your child able to attend to Summer Academy everyday? *
Does your child have a high interest in basketball and is willing to participate in 2-3 hours of physical activity per day: *