Junior Pool League Signups

Player Information

Junior Name(Required)

First Last

Junior Experience(Required)

Junior Birth Date(Required)

Junior Shirt Size (Adults)(Required)

League Options – Discount for both sessions if paid in full first day of session.

League Options – Fees cover sanctions, table time, league shirts and other expenses related to maintaining league. Modules will be assigned to the league area chosen.(Required)

J&S Electronics (Wapakoneta) $60 (One Time Fee) Payable first day (VNEA/BCA/IN/CS)

Beck’s Billiards (Van Wert) $60 (One Time Fee) Payable first day – VNEA/BCA/IN/CS

Module 1 – Basics 101

Module 2 Fundamentals 101

Module 3 Fundamentals II

Module 4 Valley Game Setup

Module Location

Choose ONLY if doing modules and not actual League.

Beck’s – Van Wert

J&S Wapakoneta

Parent/Guardian Name (Self if 18-20 years old)(Required)

First Last

Phone(Required)

Email(Required)

Address

Street Address Address Line 2 City State ZIP Code

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Medical Conditions(Required)

Yes

Does the participant have any medical condition of which the instructor should be aware? (ie: diabetes, asthma, seizures)

Medical Condition Explanation(Required)

League Requirements(Required)

I understand the program costs per junior are as listed for regular league sessions and due the first day of each module.

I understand my junior will be required to participate in the fundraiser sales and tournament.

I understand if my junior player has to miss a match, there will be no makeups done.

I will review the Rules & Expectations with my junior(s) so they will know and understand what is expected.

I understand there is no monetary payout for this league.

I understand there will be training sessions and drills at the beginning of each match day and all players are required to participate.

Available Tournaments(Required)

Please mark which (if any) tournaments your child may be interested in so we can best set schedules to fully qualify.

Junior VNEA World Championship TBA

Junior VNEA Ohio Pool Championship TBA

Indiana State Junior Adult Doubles (Indianapolis, IN) Mar 14, 2026 (Pre-registration highly encouraged)

Ohio BCA August 2026 (Date TBD)

Any NAPA Qualifiers

Not interested in tournaments

Parent/Guardian/18+ Signature

Please enter name and date at bottom as permission granted for your child to play junior league.

Parent/Guardian Name (Self if 18-20 years old) (as signature)

Registration Date

Registration-Junior Pool Leagues

Player Information

League Options – Discount for both sessions if paid in full first day of session.

Parent/Guardian/18+ Signature