Falling Spring Basketball

1

Player's Name* This field is required.

First Name

Last Name

2

Grade* This field is required.

9

10

11

12

3

Player's Cell Number* This field is required.

4

Date of birth* This field is required.

Date

5

Address* This field is required.

Street Address

City

State

Zip Code

Country

7

Jersey Number* This field is required.Numbers already taken: 8, 9,

9

Parent Email * This field is required.This is where the permission forms will be sent

example@example.com

10

Please read the following before submitting. I understand that, to play on the team, I must...* This field is required.

Print, sign, and return the forms on or before Dec. 9, (Forms will be emailed to the address entered above and available fallingspringyouth.com/basketball.)

Submit payment, either online or by check to PCFS, on or before Dec. 9. (Details will be emailed and you will be directed to an info page after submitting this form.)

11

My Products$60 if you live within the Chambersburg borough; $65 if you live outside of the Chambersburg borough

60

USD

65

USD

First Name

Last Name