"Southern Berith" District Basketball Association Registration - Season 2 (Feb.2024

"Southern Berith" District Basketball Association Registration - Season 2 (Feb.2024 - May 2024)

Due to the low enrolloment of youth participants,we will survey and circle back on the decision to include in future activities.
You are filling this application as a:*
Choosing through the options enables a smooth segmenation through the application process.
Please indicate what you would like to help out in:*
Disclaimer*: As a volunteer, please be aware you will need to arrive earlier and may stay later. Depending on the assignment, you will also have to bring your own equipment (i.e. media equipment).
If other, briefly explain:*
Name*

PrefixFirst NameMiddle InitialLast NameSuffix
Birth Date*

MonthDayYear
Age
Are you playing with your team?*
Participant E-mail*
If the participant does not have an email address, please write in N/A.
Parent or Guardian E-mail*
example@example.com
E-mail*
example@example.com
Mobile Number*
Church*
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Emergency Email*
example@example.com
Please verify that you are human*
Should be Empty:

"Southern Berith" District Basketball Association Registration - Season 2 (Feb.2024 - May 2024)