Basketball Registration
Enter player details, parent/guardian contact info, and any medical or emergency information.
Information
Basketball is open to ages 3–12. Practices will begin in mid-October and continue through mid-February. Games will begin in December, with approximately one game per week, and the season will conclude with a tournament in February. Exact practice schedules, teams, and age divisions will be determined after registration closes based on enrollment. 💲 Tuition $45 per month T-shirt included
Player’s Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Grade
*
Please Select
Pre-school
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
T-shirt Size
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Has your child played basketball before?
*
Yes
No
If yes, how many years has your child played basketball?
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Secondary/Emergency Contact Name
*
First Name
Last Name
Secondary/Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Allergies (if any)
Medical conditions or injuries Rogue should be aware of
Medications (if any)
Register
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