You can always press Enter⏎ to continue
Mens Basketball League - Registration
Games will be held Wednesday nights from 6-9 PM starting May 25th. There will be a minimum of 8 games. Please have each member of your team register at flcfit.com/league.
19
Questions
START
1
Team Role
*
This field is required.
Team Captain
Free Agent Player
Previous
Next
Submit
Press
Enter
2
How many years experience with adult basketball leagues?
*
This field is required.
less than 1 year
1 year
2-4 years
3-5 years
5+ years
less than 1 year
1 year
2-4 years
3-5 years
5+ years
Previous
Next
Submit
Press
Enter
3
On a scale of 1-10, how would you rate your overall basketball skills?
*
This field is required.
1-amature to 10-professional
Previous
Next
Submit
Press
Enter
4
Your Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
5
Team Name
Previous
Next
Submit
Press
Enter
6
Player Names
Previous
Next
Submit
Press
Enter
7
Date of Birth
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
8
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
9
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
10
What's your shirt size?
*
This field is required.
S
M
L
XL
2XL
3XL
4XL
S
M
L
XL
2XL
3XL
4XL
Previous
Next
Submit
Press
Enter
11
Emergency Contact
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
12
Emergency Contact Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Press
Enter
13
Rules & Regulations
*
This field is required.
Previous
Next
Submit
Press
Enter
14
Are you covered by personal/family insurance?
*
This field is required.
Yes
No
Previous
Next
Submit
Press
Enter
15
Name of Insurer
First Name
Last Name
Previous
Next
Submit
Press
Enter
16
Policy or Group #
Previous
Next
Submit
Press
Enter
17
Participation Waiver
*
This field is required.
Previous
Next
Submit
Press
Enter
18
Payment
*
This field is required.
prev
next
( X )
My Bag
2
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
USD
Free Agent Player
$
80.00
+
Remove
Edit
Back
Team Registration Fee
$
640.00
+
Remove
Edit
Back
Credit Card
First Name
Last Name
Previous
Next
Submit
Press
Enter
19
Signature
*
This field is required.
I agree that all information is correct, to the best of my knowledge.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
19
See All
Go Back
Submit