Little Dribblers Basketball League Registration

League Name

League Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of League President

First NameLast Name

Email of League President

example@example.com

Phone Number

Area CodePhone Number

Please provide contact information for one additional Board Member.

First NameLast Name

Alternate Board Member Cell Phone Number

Area CodePhone Number

Alternate Board Member Email

example@example.com

Vice-PresidentSecretaryTreasurerOther

Name of the School District your claiming as your league boundary.

CONTINENTAL DIVISIONAMERICAN DIVISIONNATIONAL DIVISION

REGISTRATION CHECK-OUT-At the end of check out you can pay by Credit Card, Debit Card, or Check using our online check-out.

Boys Annual Registration

Fee includes all local league games plus 1Boys Rookie All-Star team, 1 Boys Junior All-Star team, 1 Boys Major All-Star team and 1 Boys Senior team All-Star team.

$500.00

Girls Annual Registration

Fee includes all local league games plus 1 Girls Rookie All-Star team, 1 Girls Junior All-Star team, 1 Girls Major All-Star team, and 1 Girls Senior team All-Star team.

$500.00

League Insurance

Note: Leagues are required to provide medical and liability insurance coverage for all players in their local league. Wilson Sports Insurance Services provides the Insurance coverage offered through Little Dribblers' Basketball, Inc. THE INSURANCE FEE IS $50 PER TEAM. (Team =12 players) To determine how many teams to insure, take the total number of players in your league, divide that number by 12 to see how many teams you need to enter in the QUANTITY BOX below.

$50.00 Number of Teams
Item subtotal:$0.00

Additional Boys Rookie All-Star Team

Only Select additional BOYS ROOKIE ALL-STAR TEAM if you are entering more than one Boy's Rookie team in the Regional Tournament.

$100.00 Quantity

Additional Boys All-Star Junior Team

Only Select additional BOYS JUNIOR ALL-STAR TEAM if you are entering more than one Boy's Junior team in the Regional Tournament.

$100.00 Quantity

Additional Boys All-Star Major Team

Only Select additional BOYS MAJOR ALL-STAR TEAM if you are entering more than one Boy's Major team in the Regional Tournament.

$100.00 Quantity

Additional Boys All-Star Senior Team

Only Select additional BOYS SENIOR ALL-STAR TEAM if you are entering more than one Boy's Senior team in the Regional Tournament.

$100.00 Quantity

Additional Girls All-Star Rookie Team

Only Select an additional GIRLS ROOKIE ALL-STAR TEAM if you are entering more than one Girl's Rookie team in the Regional Tournament.

$100.00 Quantity

Additional All-Star Junior Team

Only Select an additional GIRLS JUNIOR ALL-STAR TEAM if you are entering more than one Girl's Junior team in the Regional Tournament.

$100.00 Quantity

Additional Girls All-Star Major Team

Only Select an additional GIRLS MAJOR ALL-STAR TEAM if you are entering more than one Girl's Major team in the Regional Tournament.

$100.00 Quantity

Additional Girls All-Star Senior Team

Only Select an additional GIRLS SENIOR ALL-STAR TEAM if you are entering more than one Girl's Senior team in the Regional Tournament.

$100.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Welcome to Little Dribblers' Basketball, Inc.

League Information

LEAGUE DEMOGRAPHIC INFORMATION

Registration Payment