Julian Youth Basketball Association Registration

REGISTRATION FORM

JULIAN YOUTH BASKETBALL
Registration Fees - $65/player submission
Julian Youth Basketball Winter Program

Practice: TBA

Start Date: Practices will begin in December and Games will begin in January (Further details will provided once teams and coaches are determined)
Player's Name:*

First NameMiddle NameLast Name
Player's Date Of Birth:*

MonthDayYear
Player's Age*
Player's Grade*
Player's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone:*

Area CodePhone Number
Home Email*
Mother's Name

First NameLast Name
Mother's Cell

Area CodePhone Number
Father's Name

First NameLast Name
Father's Phone

Area CodePhone Number

REGISTRATION FEE ***Manually Type "65" Before Clicking Next *

USDDescription

Credit Card

Apple Pay

Google Pay

Cash App Pay

Volunteer Opportunities

Julian sports programs are able to exist due to the participation from community members. If you'd like to be involved please select below for the available options. If you have any questions please send an email to jyb92036@gmail.com.
Concession CoordinatorFundraiserBoard MemberRefereeScore Keeper
Team
Coach
Uniform Size and Number
Should be Empty:

REGISTRATION FORM