Basketball Registration Form

Girls Basketball Registration Form

Fill out the form carefully for registration
Welcome to Victory Basketball Upland- Winter!

LOCATIONS

PCC=Pacific Community Center

Lower Division

800 W. Arrow Hwy Upland

PJH= Pioneer JH

Upper Divsion

245 W. 18th St. Upland

DATES

Nov 2-Feb 10

2nd-7th grade girls

Days/Times

Lower Division (2nd-5th): Mon & Wed 4:30-5:45 @PCC

Upper Division (5th-7th): Mon & Wed 6:15-7:30 @PJH

Season Includes

-4 basketball clinics

-Monday- Clinics

-Wednesday- games

-Tournament

-practice shirt

-uniform

-League Champion

Price

$300

(Early registration: $275)

(continuing membership fee: $250)

We're excited to start the season with you all, and sharing the Good News of VICTORY in JESUS!
Athletes Name

First NameLast Name
Birth Date

MonthDayYear
Grade in the 2026-27 school year
Lower Division- (2nd-5th) lower basket and smaller ball size.

Upper Division- (5th-7th) 10 foot baskets and regulation ball size.
Division you are registering for?
Short size
Jersey size
Can Victory post pictures on social media and on their website?
School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's/Guardian's Contact Information #1

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Parent's/Guardian's Contact Information #2

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
List anyone you would like on your team. Note: if you put more than 1 player, we may only be able to put you with 1 player mentioned.
Additional Comments

My Products

Basketball Fee

Nov 2-Feb 10

$300.00 Quantity

Early bird discount

Nov 2-Feb 10 (if paid by Oct 15)

$275.00 Quantity

Continuing member

Nov 2-Feb 10 (From Fall Volleyball Season)

$250.00

3 monthly payments

Nov 2-Feb 10

$100.00 Quantity

Sweatshirt

Victory Sweatshirt

$35.00 Quantitysweatshirt size

Enter coupon

Total

Credit Card

Victory Location
Click any box that you would be interested in
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Girls Basketball Registration Form

My Products

Credit Card