Fall 2024 Basketball Registration
General Information
Player Name
First Name
Last Name
Is this your first season as a Warrior?
Yes
No
Gender
Female
Male
Non-Binary
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
What is the current grade of the player?
3rd
4th
5th
6th
7th
8th
9th
10th
11th
What days would be a conflict for practices this season?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Parent/Guardian # 1
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Parent/Guardian # 2
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Relationship
Health Issues and Special Accomodations
Are there any health issues or concerns such as asthma, allergies, epilepsy?
Yes
No
Submit
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Fall 2024 Basketball Registration
$
325.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Should be Empty: