For Waitlist - St. Luke's Basketball League Registration Form

St. Lukes 2024/2025 Basketball Registration

Parent/Guardian #1*

First NameLast Name

Parent/Guardian #1 Cell*

Parent/Guardian #2

First NameLast Name

Parent/Guardian #2 Cell

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email*

Confirmation Emailconfirm email

Email #2 (if applicable)

Confirmation Emailconfirm email

St. Luke's Church member*

YESNO

Interested in coaching?

YESNO

Interested party for coaching*

First NameLast Name

Cell Number Only*

Interested in volunteering?

YESNO

Volunteering includes but is not limited to score keeper, time clock keeper, team parents, etc.

Interested party for volunteering

First NameLast Name

Cell Number Only

Division Practice Schedule

Kindergarten (Coed) - Saturdays at 9:00AM OR 10:00AM

1st/2nd Grade (Coed) - Wednesdays at 6:15PM - 7:00PM OR 7:15PM - 8:00PM

OR

1st/2nd Grade (Coed) - Thursday at 6:15PM - 7:00PM

3rd/4th Grade Girls - Mondays (times TBD*)

5th/6th Grade Girls - Tuesdays (times TBD*)

7th/8th Grade Girls - Fridays (times TBD*)

3rd/4th Grade Boys - Fridays (times TBD*)

5th-7th Grade Boys - Thursdays (times TBD*)

8th/9th Grade Boys - day and time TBD*

*3rd grade through 9th grade players will be assigned their time slot AFTER the draft when teams are made. Practices will start no earlier than 6:15PM.

Name - Player #1 (Kindergarten 9AM)

First NameLast Name

Shirt Size - Player #1 (Kindergarten 9AM)

Shirt Size

Name - Player #2 (Kindergarten 9AM)

First NameLast Name

Shirt Size - Player #2 (Kindergarten 9AM)

Name - Player #3(Kindergarten 9AM)

First NameLast Name

Shirt Size - Player #3(Kindergarten 9AM)

Name - Player #1 (Kindergarten 10AM)

First NameLast Name

Shirt Size - Player #1 (Kindergarten 10AM)

Name - Player #2 (Kindergarten 10AM)

First NameLast Name

Shirt Size - Player #2 (Kindergarten 10AM)

Name - Player #3 (Kindergarten 10AM)

First NameLast Name

Shirt Size - Player #3 (Kindergarten 10AM)

Name - Player #1 (1st/2nd 6:15 TUE)

First NameLast Name

Shirt Size - Player #1 (1st/2nd 6:15 TUE)

Shirt Size

Previously played at St. Lukes? - Player #1 (1st/2nd 6:15 TUE)

Grade - Player #1 (1st/2nd 6:15 TUE)

Name - Player #2 (1st/2nd 6:15 TUE)

First NameLast Name

Shirt Size - Player #2 (1st/2nd 6:15 TUE)

Previously played at St. Lukes? - Player #2 (1st/2nd 6:15 TUE)

Grade - Player #2 (1st/2nd 6:15 TUE)

Name - Player #3 (1st/2nd 6:15 TUE)

First NameLast Name

Shirt Size - Player #3 (1st/2nd 6:15 TUE)

Previously played at St. Lukes? - Player #3 (1st/2nd 6:15 TUE)

Grade - Player #3 (1st/2nd 6:15 TUE)

Name - Player #1 (1st/2nd 7:15 WED)

First NameLast Name

Shirt Size - Player #1 (1st/2nd 7:15 WED)

Previously played at St. Lukes? - Player #1 (1st/2nd 7:15 WED)

Grade - Player #1 (1st/2nd 7:15 WED)

Name - Player #2 (1st/2nd 7:15 WED)

First NameLast Name

Shirt Size - Player #2 (1st/2nd 7:15 WED)

Previously played at St. Lukes? - Player #2 (1st/2nd 7:15 WED)

Grade - Player #2 (1st/2nd 7:15 WED)

Name - Player #3 (1st/2nd 7:15 WED)

First NameLast Name

Shirt Size - Player #3 (1st/2nd 7:15 WED)

Previously played at St. Lukes? - Player #3 (1st/2nd 7:15 WED)

Grade - Player #3 (1st/2nd 7:15 WED)

Shirt Size - Player #1 (1st/2nd 6:15 Thurs)

Name - Player #1 (1st/2nd 6:15 Thurs)

First NameLast Name

Previously played at St. Lukes? - Player #1 (1st/2nd 6:15 Thurs)

Grade - Player #1 (1st/2nd 6:15 Thurs)

Name - Player #2 (1st/2nd 6:15 Thurs)

First NameLast Name

Shirt Size - Player #2 (1st/2nd 6:15 Thurs)

Previously played at St. Lukes? - Player #2 (1st/2nd 6:15 Thurs)

Grade - Player #2 (1st/2nd 6:15 Thurs)

Name - Player #3 (1st/2nd 6:15 Thurs)

First NameLast Name

Shirt Size - Player #3 (1st/2nd 6:15 Thurs)

Previously played at St. Lukes? - Player #3 (1st/2nd 6:15 Thurs)

Grade - Player #3 (1st/2nd 6:15 Thurs)

Name - Player #1 (3rd/4th Girls)

First NameLast Name

Shirt Size - Player #1 (3rd/4th Girls)

Previously played at St. Lukes? - Player #1 (3rd/4th Girls)

Grade - Player #1 (3rd/4th Girls)

Name - Player #2 (3rd/4th Girls)

First NameLast Name

Shirt Size - Player #2 (3rd/4th Girls)

Previously played at St. Lukes? - Player #2 (3rd/4th Girls)

Grade - Player #2 (3rd/4th Girls)

Name - Player #3 (3rd/4th Girls)

First NameLast Name

Shirt Size - Player #3 (3rd/4th Girls)

Previously played at St. Lukes? - Player #3 (3rd/4th Girls)

Grade - Player #3 (3rd/4th Girls)

Name - Player #1 (5th/6th Girls)

First NameLast Name

Shirt Size - Player #1 (5th/6th Girls)

Previously played at St. Lukes? - Player #1 (5th/6th Girls)

Grade - Player #1 (5th/6th Girls)

Name - Player #2 (5th/6th Girls)

First NameLast Name

Shirt Size - Player #2 (5th/6th Girls)

Previously played at St. Lukes? - Player #2 (5th/6th Girls)

Grade - Player #2 (5th/6th Girls)

Name - Player #3 (5th/6th Girls)

First NameLast Name

Shirt Size - Player #3 (5th/6th Girls)

Previously played at St. Lukes? - Player #3 (5th/6th Girls)

Grade - Player #3 (5th/6th Girls)

Name - Player #1 (7th/8th Girls)

First NameLast Name

Shirt Size - Player #1 (7th/8th Girls)

Previously played at St. Lukes? - Player #1 (7th/8th Girls)

Grade - Player #1 (7th/8th Girls)

Name - Player #2 (7th/8th Girls)

First NameLast Name

Shirt Size - Player #2 (7th/8th Girls)

Previously played at St. Lukes? - Player #2 (7th/8th Girls)

Grade - Player #2 (7th/8th Girls)

Name - Player #3 (7th/8th Girls)

First NameLast Name

Shirt Size - Player #3 (7th/8th Girls)

Previously played at St. Lukes? - Player #3 (7th/8th Girls)

Grade - Player #3 (7th/8th Girls)

Name - Player #1 (3rd/4th Boys)

First NameLast Name

Shirt Size - Player #1 (3rd/4th Boys)

Previously played at St. Lukes? - Player #1 (3rd/4th Boys)

Grade - Player #1 (3rd/4th Boys)

Name - Player #2 (3rd/4th Boys)

First NameLast Name

Shirt Size - Player #2 (3rd/4th Boys)

Previously played at St. Lukes? - Player #2 (3rd/4th Boys)

Grade - Player#2 (3rd/4th Boys)

Name - Player #3 (3rd/4th Boys)

First NameLast Name

Shirt Size - Player #3 (3rd/4th Boys)

Previously played at St. Lukes? - Player #3 (3rd/4th Boys)

Grade - Player #3 (3rd/4th Boys)

Name - Player #1 (5th-7th Boys)

First NameLast Name

Shirt Size - Player #1 (5th-7th Boys)

Previously played at St. Lukes? - Player #1 (5th-7th Boys)

Grade - Player #1 (5th-7th Boys)

Name - Player #2 (5th-7th Boys)

First NameLast Name

Shirt Size - Player #2 (5th-7th Boys)

Previously played at St. Lukes? - Player #2 (5th-7th Boys)

Grade - Player #2 (5th-7th Boys)

Name - Player #3 (5th-7th Boys)

First NameLast Name

Shirt Size - Player #3 (5th-7th Boys)

Previously played at St. Lukes? - Player #3 (5th-7th Boys)

Grade - Player #3 (5th-7th Boys)

Name - Player #1 (8th/9th Boys)

First NameLast Name

Shirt Size - Player #1 (8th/9th Boys)

Previously played at St. Lukes? - Player #1 (8th/9th Boys)

Grade - Player #1 (8th/9th Boys)

Name - Player #2 (8th/9th Boys)

First NameLast Name

Shirt Size - Player #2 (8th/9th Boys)

Previously played at St. Lukes? - Player #2 (8th/9th Boys)

Grade - Player #2 (8th/9th Boys)

Name - Player #3 (8th/9th Boys)

First NameLast Name

Shirt Size - Player #3 (8th/9th Boys)

Previously played at St. Lukes? - Player #3 (8th/9th Boys)

Grade - Player #3 (8th/9th Boys)

Count - $100 Fee

Count - $150 Fee

Total Headcount

Discount

Total Cost

Parents/Players Code of Conduct

-To honor our Lord and promote His Teachings

-To provide individuals the opportunity to communicate with one another through athletic activity

-To provide our youth an environment wherein they can practice Christian relationships under the stress of competition

-To encourage an interest in basketball and educate individuals in the skill of playing basketball

It is expected that all participants as players, coaches and spectators follow and adhere to the purpose as stated above. Christian sportsmanship both on and off the court is an important component of the program and should be practiced by all involved.

PAYMENT INFORMATION

Children grades Kindergarten through 2nd grade are $100 per child.

Children grades 3rd through 9th grade are $150 per child.

Registration payment is due on submittal.

There is a $25 sibling discount applied automatically when registered together.

A 3.5% fee will be added to the total for credit processing.

I hereby give permission for my child(ren) to participate in the St Luke's Athletic Association Basketball program. I hereby waive, release, and agree to hold harmless the St. Luke's Athletic Association, its officers, directors, organization, coaches, participants, consultants, volunteers, and/or the facility where play is performed from any claim arising from any injury or loss to my child. I hereby agree to adhere to the above stated Parent/Player code of conduct.

All divisions are subject to adjustments based on player enrollment/evaluations.

I have read and agree to the above conditions*

Yes

Signature*

Payment information*

USD

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.