Basketball Registration Form

Basketball Registration Form

Register your child for Springfield Elite Tiny Tots and provide contact, uniform size, medical details, and emergency information.
Player Name

First NameLast Name
Player Grade
Parent/Guardian Name

First NameLast Name
Parent/Guardian Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Uniform Size
Medical Information (allergies, conditions, medications)
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Should be Empty: