You can always press Enter⏎ to continue
Recreational League Basketball - Registration Form
Recreational League Basketball - Registration Form
Use this form to sign up your player for our Recreational Basketball League at the West Contra Costa Salesian Boys & Girls Club
WCCSBGC Rec League Registration Form
  • 1
    Press
    Enter
  • 2
    Select option below.
    Press
    Enter
  • 3
    Select the age of the player.
    • 4 years old or younger
    • 5 years old
    • 6 years old
    • 7 years old
    • 8 years old
    • 9 years old
    • 10 years old
    • 11 years old
    • 12 years old
    • 13 years old
    • 14 years old
    Press
    Enter
  • 4
    Select the grade of the player for the current school year (2021-2022).
    • 1st grade/kindergarten/pre-school
    • 2nd grade
    • 3rd grade
    • 4th grade
    • 5th grade
    • 6th grade
    • 7th grade
    • 8th grade
    Press
    Enter
  • 5
    -
    Pick a Date
    Press
    Enter
  • 6
    Please complete your contact information below.
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Please indicate your child's jersey size by selecting from the drop down menu below:
    • Youth X-Small
    • Youth Small
    • Youth Medium
    • Youth Large
    • Adult Small
    • Adult Medium
    • Adult Large
    • Adult X-Large
    Press
    Enter
  • 9
    Please list below any medical conditions and/or allergies that you think we should know about (or click "Next" to skip to the next question):
    Press
    Enter
  • 10
    Select an option below or click "Next" to skip to the next question.
    • Google/Search Engine
    • A Friend or Colleague
    • Social Media/Facebook/Instagram/Twitter
    • Other
    Press
    Enter
  • 11
    Enter any additional comments or notes below.
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 12
    SCROLL ALL THE WAY DOWN TO ACCEPT THE AGREEMENT/WAIVER.  I hereby waive, release and discharge any and all claims for damages for the personal injury, death, or property damage which I may have, or which hereafter accrue to me or my child, as a result of participation in basketball practices and/or basketball competitions in all its forms. The release is intended to discharge in advance, the organizations (West Contra Costa Salesian Boys & Girls Club & BAS), it’s coaches or volunteers from any and all liability arising out of or in any way connected with my participation in said activity. Its understood that the activity involves an element of risk and danger of accidents and knowing those risks, I assume those risks. It is further agreed that this waiver, release, and assumption of risk, is to be binding on my heirs and assigns. I agree to indemnify and to hold West Contra Costa Salesian Boys & Girls Club & BAS, all persons and entities associated with (West Contra Costa Salesian Boys & Girls Club & BAS), free and harmless from any loss, liability, damage, cost or expense, in which they may incur as a result of death, injury or property of damage that I may sustain while participating. I also give West Contra Costa Salesian Boys & Girls Club & BAS, it’s coaches or volunteers the right to copyright and/or publish, reproduce, or otherwise use my child’s name, voice, and likeness and/or photographs, and audiovisual recordings that include my child for instruction, advertising, program website, publications or brochures, or any other lawful purpose whatsoever. I hereby agree to relinquish all rights, title and interest I may have in the finished product and waive all rights to any compensation thereof. I hereby consent that my child may participate in the above activity, and hereby execute the above agreement, release and waiver on his behalf. I state that said minor is physically able to participate in said activity. I hereby agree to indemnify and hold the persons and entities mentioned above free and harmless from any loss, liability, damage, cost, or expense, which may arise or may be incurred as a result of death, injury, or property damage that said minor may sustain while participating in said activity. I further expressly acknowledges that the foregoing agreement, waiver, and release form is intended to be as broad as is permitted by the laws of the State of California and that if any portion thereof is held invalid, it is agreed that the balance notwithstanding, continue in full legal force and effect. Undersigned agrees that no oral representations, statements or inducements apart from the foregoing written agreement have been made.  I HAVE READ THE FOREGOING RELEASE, I FULLY UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.
    Press
    Enter
  • 13
    By signing below you agree to the previous waiver agreements
    Clear
    Press
    Enter
  • 14

    PLAYER REGISTRATION FEE

    Current Boys Club Member - $100

    Non-Boys Club Members - $175 (includes a year long membership to the Boys & Girls Club and the opportunity to join other Boys & Girls Club activities)

    Registration fee also includes a reversible jersey & 5 games minimum for the league

    *** REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS MADE ***

    If you are interested in coaching please contact us at admin@BAStournaments.com

    Press
    Enter
  • 15
    REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED.
    prevnext( X )
        My Bag
        0
        My Bag
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        Great Product Name
        $20
        Quantity:1
        Size:Small
        RemoveEdit
        ORDER SUMMARY
        Processing FeeUSD
        SubtotalUSD
        Total costUSD
        • Current Boys Club Member - New Player
          $100.00+RemoveEdit
          Back
        • Non-Boys Club Member - New Player
          $175.00+RemoveEdit
          Back
          Enter Coupon
          loading
          Total cost $0.00
          Press
          Enter
        • 16

          Thank you for registering for the WCCSBGC Rec League!

          Once you hit the submit button you will be redirected to the WCCSBGC membership form, which must also be completed. If you are current member of the Boys Club, please disregard the additonal form. The Boys Club Membership Form must also be completed in order to join the league.

          Press
          Enter
        • Should be Empty:
        Question Label
        1 of 16See AllGo Back
        close