JUNIOR BASKETBALL INDIVIDUAL NOMINATION FORM
Please complete this form for each child if you are looking to participate in Futsal at the Cumbre Sports Facility
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Player Name
*
First Name
Last Name
Player DOB
*
-
Day
-
Month
Year
Date
Preferred League Type (Select all that apply)
*
Girls
Boys
Mixed
Preferred Day/s (Select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Would you also be interested in 3x3?
*
Please Select
Yes
No
Submit
Should be Empty: