Clone of St. Luke's Basketball League Registration Form

St. Luke's 2025/2026 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 10:00AM

1st/2nd Grade (Coed) -

Wednesdays at 6:15PM - 7:00PM OR

Wednesdays at 7:15PM - 8:00PM OR

Thursdays at 6:15PM - 7:00PM OR

Thursday at 7:15PM - 8:00PM

3rd/4th Grade Girls - Mondays at 7:15 OR Tuesdays at 6:15

5th/6th Grade Girls - Tuesdays at 8:15 OR at Fridays 6:15

7th/8th Grade Girls - Thursdays at 8:15 OR Fridays at 8:15

3rd/4th Grade Boys - Mondays at 6:15 OR Tuesdays at 7:15

5th/6th Grade Boys - Wednesdays at 8:15 OR Fridays at 7:15

7th/8th Grade Boys - Mondays at 8:15 OR Sundays (time TBD)

*First and second graders practice and play together, but are registered separately to help us create balanced teams for gameplay.*

Name - Player #1 (Kindergarten 10AM)

First NameLast Name

Shirt Size - Player #1 (Kindergarten 10AM)

Shirt Size

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 (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 Grade 6:15 WED)

First NameLast Name

Shirt Size - Player #1 (1st Grade 6:15 WED)

Shirt Size

Previously played at St. Lukes? - Player #1 (1st Grade 6:15 WED)

Grade - Player #1 (1st Grade 6:15 WED)

Name - Player #2 (1st Grade 6:15 WED)

First NameLast Name

Shirt Size - Player #2 (1st Grade 6:15 WED)

Previously played at St. Lukes? - Player #2 (1st Grade 6:15 WED)

Grade - Player #2 (1st Grade 6:15 WED)

Name - Player #3 (1st Grade 6:15 WED)

First NameLast Name

Shirt Size - Player #3 (1st Grade 6:15 WED)

Previously played at St. Lukes? - Player #3 (1st Grade 6:15 WED)

Grade - Player #3 (1st Grade 6:15 WED)

Name - Player #1 (1st Grade 7:15 WED)

First NameLast Name

Shirt Size - Player #1 (1st Grade 7:15 WED)

Shirt Size

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

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

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

First NameLast Name

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

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

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

Name - Player #3 (1st Grade 7:15 WED)

First NameLast Name

Shirt Size - Player #3 (1st Grade 7:15 WED)

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

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

Name - Player #1 (2nd Grade 6:15 WED)

First NameLast Name

Shirt Size - Player #1 (2nd Grade 6:15 WED)

Previously played at St. Lukes? - Player #1 (2nd Grade 6:15 WED)

Grade - Player #1 (2nd Grade 6:15 WED)

Name - Player #2 (2nd Grade 6:15 WED)

First NameLast Name

Shirt Size - Player #2 (2nd Grade 6:15 WED)

Previously played at St. Lukes? - Player #2 (2nd Grade 6:15 WED)

Grade - Player #2 (2nd Grade 6:15 WED)

Name - Player #3 (2nd Grade 6:15 WED)

First NameLast Name

Shirt Size - Player #3 (2nd Grade 6:15 WED)

Previously played at St. Lukes? - Player #3 (2nd Grade 6:15 WED)

Grade - Player #3 (2nd Grade 6:15 WED)

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

First NameLast Name

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

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

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

Name - Player #2 (2nd Grade 7:15 WED)

First NameLast Name

Shirt Size - Player #2 (2nd Grade 7:15 WED)

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

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

Name - Player #3 (2nd Grade 7:15 WED)

First NameLast Name

Shirt Size - Player #3 (2nd Grade 7:15 WED)

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

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

Name - Player #1 (1st Grade 6:15 Thurs)

First NameLast Name

Shirt Size - Player #1 (1st Grade 6:15 Thurs)

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

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

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

First NameLast Name

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

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

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

Name - Player #3 (1st Grade 6:15 Thurs)

First NameLast Name

Shirt Size - Player #3 (1st Grade 6:15 Thurs)

Previously played at St. Lukes? - Player #3 (1st Grade6:15 Thurs)

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

Name - Player #1 (1st Grade 7:15 Thurs)

First NameLast Name

Shirt Size - Player #1 (1st Grade 7:15 Thurs)

Previously played at St. Lukes? - Player #1 (1st Grade 7:15 Thurs)

Grade - Player #1 (1st Grade 7:15 Thurs)

Name - Player #2 (1st Grade 7:15 Thurs)

First NameLast Name

Shirt Size - Player #2 (1st Grade 7:15 Thurs)

Previously played at St. Lukes? - Player #2 (1st Grade 7:15 Thurs)

Grade - Player #2 (1st Grade 7:15 Thurs)

Name - Player #3 (1st Grade 7:15 Thurs)

First NameLast Name

Shirt Size - Player #3 (1st Grade 7:15 Thurs)

Previously played at St. Lukes? - Player #3 (1st Grade 7:15 Thurs)

Grade - Player #3 (1st Grade 7:15 Thurs)

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

First NameLast Name

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

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

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

Name - Player #2 (2nd Grade 6:15 Thurs)

First NameLast Name

Shirt Size - Player #2 (2nd Grade 6:15 Thurs)

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

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

Name - Player #3 (2nd Grade 6:15 Thurs)

First NameLast Name

Shirt Size - Player #3 (2nd Grade 6:15 Thurs)

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

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

Name - Player #1 (2nd Grade 7:15 Thurs)

First NameLast Name

Shirt Size - Player #1 (2nd Grade 7:15 Thurs)

Previously played at St. Lukes? - Player #1 (2nd Grade 7:15 Thurs)

Grade - Player #1 (2nd Grade 7:15 Thurs)

Name - Player #2 (2nd Grade 7:15 Thurs)

First NameLast Name

Shirt Size - Player #2 (2nd Grade 7:15 Thurs)

Previously played at St. Lukes? - Player #2 (2nd Grade 7:15 Thurs)

Grade - Player #2 (2nd Grade 7:15 Thurs)

Name - Player #3 (2nd Grade 7:15 Thurs)

First NameLast Name

Shirt Size - Player #3 (2nd Grade 7:15 Thurs)

Previously played at St. Lukes? - Player #3 (2nd Grade 7:15 Thurs)

Grade - Player #3 (2nd Grade 7:15 Thurs)

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

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

First NameLast Name

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

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

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

Name - Player #1 (5th-6th Boys Wednesdays)

First NameLast Name

Shirt Size - Player #1 (5th-6th Boys Wednesdays)

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

Grade - Player #1 (5th-6th Boys Wednesdays)

Name - Player #2 (5th-6th Boys Wednesdays)

First NameLast Name

Shirt Size - Player #2 (5th-6th Boys Wednesdays)

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

Grade - Player #2 (5th-6th Boys Wednesdays)

Name - Player #3 (5th-6th Boys Wednesdays)

First NameLast Name

Shirt Size - Player #3 (5th-6th Boys Wednesdays)

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

Grade - Player #3 (5th-6th Boys Wednesdays)

Name - Player #1 (5th-6th Boys Fridays)

First NameLast Name

Shirt Size - Player #1 (5th-6th Boys Fridays)

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

Grade - Player #1 (5th-6th Boys Fridays)

Name - Player #2 (5th-6th Boys Fridays)

First NameLast Name

Shirt Size - Player #2 (5th-6th Boys Fridays)

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

Grade - Player #2 (5th-6th Boys Fridays)

Name - Player #3 (5th-6th Boys Fridays)

First NameLast Name

Shirt Size - Player #3 (5th-6th Boys Fridays)

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

Grade - Player #3 (5th-6th Boys Fridays)

Name - Player #1 (7th/8th Boys Mondays)

First NameLast Name

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

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

Grade - Player #1 (7th/8th Boys Mondays)

Name - Player #2 (7th/8th Boys Mondays)

First NameLast Name

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

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

Grade - Player #2 (7th/8th Boys Mondays)

Name - Player #3 (7th/8th Boys Mondays)

First NameLast Name

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

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

Grade - Player #3 (7th/8th Boys Mondays)

Name - Player #1 (7th/8th Boys Sundays)

First NameLast Name

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

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

Grade - Player #1 (7th/8th Boys Sundays)

Name - Player #2 (7th/8th Boys Sundays)

First NameLast Name

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

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

Grade - Player #2 (7th/8th Boys Sundays)

Name - Player #3 (7th/8th Boys Sundays)

First NameLast Name

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

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

Grade - Player #3 (7th/8th Boys Sundays)

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 and above 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.

St. Luke's Athletic Association Basketball Program Waiver

Permission & Release: I give permission for my child to participate in the basketball program. I release St. Luke's Athletic Association, its staff, coaches, and volunteers from any claims for injury or loss.

Code of Conduct: I agree to follow the Parent/Player code of conduct.

Photo/Video Rights: I grant St. Luke's permission to use photos and videos of my child for their website, social media, and promotional materials.

I have read and agree to the above conditions*

Yes

Signature*

Total*

USDDescription

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.