Adult 5-on-5 Basketball League
Player Registration Form
PLAYER NAME
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
BIRTH DATE
*
-
Month
-
Day
Year
Date
LEAGUE SESSION
*
SUMMER 2025
FALL 2025
TEAM NAME or CAPTAIN NAME
*
My Products
Categories:
All
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Non-Member Basketball Player Fee
$
50.00
Adult 5-on-5 Basketball League Player Fee
Total
$
0.00
Credit Card
Submit
Wayne Herrick will be emailing shortly to confirm your registration.
Should be Empty: