Parents' Night Out Basketball
Enjoy a date night, run errands, or simply take a break while your child improves their basketball skills in a safe, structured environment!
Player Information
Player Name
*
First Name
Last Name
Gender
*
Please Select
Boy
Girl
Grade
*
Please Select
2nd
3rd
4th
5th
6th
7th
8th
School Name
*
Parent/Guardian Information
Parent Full Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Please choose the dates that you will be coming. Register for 3 dates and you get 4th for FREE.
*
September 18 (Friday)
October 2 (Friday)
October 16 (Friday)
October 23 (Friday)
Payment
Please make sure you selected the correct dates above.
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Registration
$30.00
$
30.00
How many Fridays are you coming?
One Friday only
Two Fridays
Three Fridays
Four Fridays
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
REGISTER
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