Student Sports Registration Form

Sports Registration
SettBidness Organization

SBL VIPERS/ SBL CHEER SQUAD

BASKETBALL
If you have any questions, please contact team manager Tamika Courtney at 803-696-7958
Contact Information
Name

First NameLast Name
Date of birth

MonthDayYear
Date
Age group
MaleFemale
Address Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Information (if participant is under 18)
Parent's/Guardian's name
Phone Number
Please enter a valid phone number.
Place of work
Email
example@example.com
Parent's/Guardian's name
Phone Number
Please enter a valid phone number.
Place of work
Email
example@example.com
Emergency Contact 1

In the event of an emergency, please contact:
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Emergency Contact 2

In the event of an emergency, please contact:
Name

First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Size
Additional notes
Should be Empty: