Boys Basketball All-Star Packet Name(Required) First Last Email(Required) High School(Required) FACA Boys Basketball All-Star ClassicYOU HAVE 3 DAYS TO ACCEPT OR DECLINE INVITATION Congratulations on having one of your athletes selected to participate in the 2025 FACA Basketball All-Star Classic. The FACA Basketball All-Star Classic is set for March 22, 2025 at “The Furnace” at Southeastern University in Lakeland with the Girls game at 11:00am and the Boys game at 1:00pm . There will be a practice on March 21, 2025 at SEU Gym. A Sponsorship of $90 is required and can be mailed or paid by Credit Card at the end of this confirmation. Please forward this info to your selected player. The game will be live-streamed on QuikCuts Youtube Download Schedule HereAcceptance(Required) Yes, I accept the invitation to participate in the FACA Basketball All-Star Classic on Saturday, March 22, 2025 at Southeastern University in Lakeland, FL. I understand I have to make my own hotel reservations for March 21st . A room Block is set up in Lakeland (Comfort Inn & Suites- 3520 N. Hwy 98. 863-859-0100) with a group rate of $189. No, I will not be able to participate in the FACA Basketball All-Star Classic. Additional Participant InformationGender(Required)MaleGrade(Required)Select Grade9101112Date of Birth(Required) MM slash DD slash YYYY Cell Phone(Required)Position(Required) Jersey Size(Required)Select OneSmallMediumLargeExtra LargeT-Shirt Size(Required)Select OneSmallMediumLargeExtra LargeShort Size(Required)Select OneSmallMediumLargeExtra LargeName of Parent/Guardian(Required) First Last Parent/Guardian Email(Required) Address(Required) Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Coach's Name(Required) First Last Coach's Email(Required) Coach's Cell Phone(Required)Hotel ArrangementsThe FACA has a room block set-up for March 21st at Comfort Inn & Suites, 3520 North Highway 98 (863-859-0100). Group Name is Basketball Parents. You can get rooms at other hotels as well. It will be the responsibility of the parent or coach to arrange for lodging/food of the Athlete while at this event. See the link below for reservations. Rooms are $189 with a cutoff date of 3/17/25. Booking Link: : Report Date/Times/Game InfoYou are to report to the Comfort Inn & Suites, 3520 N Hwy 98, Lakeland (863-859-0100) - SOUTH BOYS/GIRLS teams at 3:00pm on March 21st. A light workout at Southeastern University Gym will be 4:00pm-5:30pm - NORTH BOYS/GIRLS teams at 4:30pm on March 21st. A light workout at Southeastern University Gym will be 5:30pm-7:00pm FACA will provide the uniforms for the games. Athletes will need to bring shoes and practice gear. The FACA will purchase medical insurance for each athlete and coach. This is a secondary coverage. Spectator tickets are $5.00 per day. Children 10 and under are free. Only FACA membership card used at pass gate. Parent ConsentI hereby approve my child to participate in the FACA All-Star Classic, practice and related activities. My child has no medical or emotional problems which may affect his/her ability to safely participate in your program. Regarding routine first aid, major emergencies or medical trauma, I understand that the All-Star Team Doctors and staff would provide whatever care or treatment they reasonably could and would refer to the appropriate physician the further treatment of such. I hereby authorize consent to any X-ray, examination, anesthetic, medical or surgical diagnosis or treatment or hospital care, which is deemed needed and rendered under the guidance or special supervision of the physician. Being fully aware of the hazards and possible consequences involved in treatment of the above described routine and major emergency conditions, I being legally competent to give consent, hereby consent to such treatment and agree to hold the Florida Athletic Coaches Association, the Organizers, Sponsors and Supervisors and/or all of them, free and harmless from any claims, whatever which may result from such treatment. All medical expenses incurred due to my child's participation in the FACA All-Star Classic, practice and activities are understood to be the responsibility of the participants Insurance Carrier with the All-Star Insurance Carrier being an Excess policy (primary if participant has no coverage) and I hereby give authorization to provide such necessary insurance information to be used should my child incur an injury or illness that requires medical attention. Acknowledgement(Required) I do hereby declare and represent that in making, executing and tendering this Statement of Voluntary Consent, I understand and acknowledge the circumstances involved in my child's participation in the described activities, and I have read this statement, understood its contents, and executed it of my free will and choice, and do so to benefit the best interest of my child. SponsorshipHow would you like to pay?(Required) Online Mail/Bring check to event Name of Sponsor(Required) First Last Sponsorship Cost(Required) Price: Processing Fee(Required) Price: $30.00 SignaturesDate(Required) All-Star Signature(Required)Parent/Guardian Signature(Required)PaymentTotal Credit Card(Required)Card Details Cardholder Name
