2024-25 Player Registration
*You must complete a separate registration for each child. Junior Panther basketball players must live in an abode that is in the United Township High School District boundary.
Player Name
*
First Name
Last Name
Choose One
*
Boy
Girl
Grade
*
Kindergarten-1st
2nd
3rd
4th
5th
6th
Date of Birth
*
-
Month
-
Day
Year
Date
School:
*
Parent / Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Player Skill Level
*
Beginner
Intermediate
Advanced
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Player Shirt Size
Player Shirt/Jersey Size (If you are unsure between two sizes, pick the larger size):
YS
YL
YM
AS
AM
AXL
A2XL
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Is a parent / guardian interested in coaching?
Yes - Head Coach
Yes - Assistant Coach
Only if there is no one to coach my child's team
No
First and last name of person interested in coaching:
Primary phone number of person interested in coaching:
If interested in coaching, what is the shirt size?
N/A - Not interested in coaching
AS
AM
AL
AXL
2XL
3XL
Coaching Information:
If notified that you are a coach, there will be a mandatory coaches meeting. (9/29/24 @ 6 PM that is approximately an hour @ UTHS Gym A). A background check will be required.
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Waiver of Liability:
I / We the parent(s) or guardian of the above named child, herby give my / our approval of his / her participation in any and all youth basketball / cheerleading activities during the coming season. I / We assume all risks and hazards incidental to such participation, including to and from such activities; and I / We do hereby waive, release, absolve and agree to hold harmless Jr. Panther Basketball, the organizers, supervisors, and participants for any claim arising out of injury to my / our son / daughter.
Signature
*
Acknowledgement & Acceptance of Zero Tolerance Rule:
I / We the parent(s) or guardian of the above named child, acknowledge, understand and accept that the Zero Tolerance Rule will be in force for the 2022-23 season. Unruly or unsportsmanlike conduct will not be tolerated from players, coaches, or spectators. Violators will be asked to leave. There will be zero warnings given to any spectator, coach or player. Severity of the conduct may constitute permanent removal for the remainder of the season. No refunds of registration fees or admission fees will be issued. You are responsible for making the policy known to those that accompany the player(s) to practice an games.
Signature
*
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My Products
*
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( X )
K - 2nd Grade Basketball (Co-Ed)
$
80.00
3rd - 6th Grade Basketball (Not Co-Ed)
$
100.00
Processing Fee
$
1.75
Total
$
0.00
Credit Card
Submit
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