Early Bird Basketball Registration 2019

The Family Basketball Registration Form is for families that are signing up 4+ players. If you are signing up 3 or less players, please sign them up individually using this form.
Early Bird Basketball Registration 2019

Please fill in the form below.
Player's Name

First NameMiddle NameLast Name
Parent's Name (If Child Is under 18)

First NameLast Name
Player Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Can we text you?
Age (as of 9/1/19)
School Grade
Are you a member of Fairview Baptist Church?
If not, where?
Coach's Name From Last Year
In consideration of my entry into the Fairview Sports Ministry, I hereby release the church, the sports program, church staff, GCBA and coaches thereof from any claims that might result from my participation and give permission to have photos used for publication and church league/website.
Name of Player (Parent/Guardian if player is under 18) completing form
E-mail of player (Parent/Guardian if player is under 18) completing form
I would like to purchase a jersey ($20)
Jersey Size
My Products
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2019 Early Bird Basketball Registration Fee$37.00

2019 Early Bird Registration Jersey Fee$21.00

Total $0.00
Please make sure to check all boxes (under My Products) that apply before clicking SUBMIT.
Should be Empty:

The Family Basketball Registration Form is for families that are signing up 4+ players. If you are signing up 3 or less players, please sign them up individually using this form.