High School Basketball Registration Form

High School Basketball Registration Form

Complete the player, parent/guardian, emergency, medical, and agreement sections for the 2026–2027 season.
Player Information
First Name
Middle Name
Last Name
Preferred Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade
Student ID
Expected Graduation Year
Preferred Jersey Numbers
Parent/Guardian Information
Parent/Guardian #1 Name

First NameMiddle NameLast Name
Relationship to Player
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Parent/Guardian #2 Name

First NameMiddle NameLast Name
Relationship to Player (Parent/Guardian #2)
Primary Phone Number (Parent/Guardian #2)
Please enter a valid phone number.Format: (000) 000-0000.
Email Address (Parent/Guardian #2)
example@example.com
Street Address
City
State
ZIP Code
Emergency Contact
Emergency Contact Name

First NameMiddle NameLast Name
Relationship to Player
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Primary Care Physician
Physician Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Health Insurance Provider
Policy Number
Do you have any medical conditions?
If yes, please explain your medical conditions
Do you have any allergies?
If yes, list your allergies
Current medications (if applicable)
Have you had a concussion within the last 12 months?
If yes, please explain your concussion history
Academic Information
Current GPA
Failed any classes during the previous grading period?
Course(s) failed
Meets the school's athletic eligibility requirements?
Basketball Experience
Years of Basketball Experience
Previous School(s)
Previous Club or AAU Team(s)
Awards, Honors, or Achievements
Transportation
How will the player travel to games?

Other
If Other, please specify transportation method
Code of Conduct
Respect coaches, teammates, officials, and opponents
Display good sportsmanship at all times
Attend practices and games unless excused
Arrive on time and prepared
Follow all NBLL and school policies
Represent their school and league with integrity
Parent/Guardian Agreement
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student-Athlete Agreement
I acknowledge and agree to uphold participation expectations, sportsmanship, respect, and academic responsibility throughout the season
Student-Athlete Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

High School Basketball Registration Form

Player Information

Parent/Guardian Information

Emergency Contact

Medical Information

Academic Information

Basketball Experience

Transportation

Code of Conduct

Parent/Guardian Agreement

Student-Athlete Agreement