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Are you ready?
Bronze
2x Practices every week
(Tuesdays and Thursdays )
6:30PM: 5th grade & under
7:30PM: 6th - 12th grade
Not this one...
LEHIGH ACRES
PLAYER INFORMATION
Child's name
(Required)
First
Last
Grade
(Required)
PRE-K
Kindergarden
1ST
2ND
3RD
4TH
5TH
6TH
7TH
8TH
9TH
10TH
11TH
12TH
SCHOOL
(Required)
HOME SCHOOL
PUBLIC SCHOOL
PRIVATE SCHOOL
Does your child have their own insurance policy?
Yes, they have their own insurance policy.
PARENT INFORMATION
PARENT Name
(Required)
First
Email
(Required)
Phone
(Required)
How did you hear about us?
Instagram
Google
Sign
Banner
Friends and Family
Privacy Policy
(Required)
I agree to the privacy policy.
By checking this box, I consent to receive messages (i.e., conversational, promotional, customer care, etc. SMS from Elite Basketball Academy. Reply STOP to opt-out; Reply HELP for support; Message & data rates may apply; Messaging frequency may vary. Visit https://eliteballacademy.com/privacy-terms/ to see our privacy policy and https://eliteballacademy.com/privacy-terms/ for our Terms of Service.
Terms of Services
(Required)
I agree to the privacy policy.
I agree to these terms of service. Parent’s Agreement: I understand that I as a legal guardian of my child hereby expressly acknowledge that the activities involve accidental risks, and I do hereby voluntarily assume any and all risks such as injuries, disability, and death to my child and or my child’s property, which may occur from participation from these events. My child’s personal insurance bears primary responsibility in case of any accident. I release ELITE BASKETBALL ACADEMY INC, their volunteers, agents, officers, directors, partners, and coaches of all liabilities arising from this program. I authorize the business named above to charge the credit card on file indicated in this authorization form according to the terms outlined above will be charged monthly until cancelation is requested. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I understand that this authorization will remain in effect until I cancel my membereship by filling out the cancelation form found on the website. I agree to notify the business of any changes in my account information or termination of this authorization with a minimum of 7 days prior to the next billing date. If cancelation request is filed after a charge you will be subject to a $15, Administrative fee. This payment authorization is for the type of bill indicated above. I certify that I am an authorized user of this credit card and that I will not dispute the scheduled payments with my credit card company provided the transactions correspond to the terms indicated in this authorization form.
PAYMENT INFORMATION
DEVELOPMENT PROGRAM
1X A WEEK $45/MONTH
2X A WEEK $90/MONTH
Total
Billing information
(Required)
Street Address
Address Line 2
CITY
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
STATE
ZIP CODE
Credit Card
(Required)
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Security Code
Cardholder Name
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LOCATIONS
LEAGUE
TEAMS
SCORING LEADERBOARD
SKILLS CLINIC
HALL OF FAME
CONTACT
COACH’S OPPORTUNITY
SPONSORSHIP
STORE