RENEGADES BASKETBALL 2026-2027 Registration Form
Player Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
School Attending
Current Grade
What Team is Player Trying Out For?
2nd Grade & Under Coed
4th Grade & Under Coed
5th Grade Boys
6th Grade Boys
7th Grade Boys
7th Grade Girls
8th Grade Boys
8th Grade Girls
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Registration
Should be Empty: