2019 Basketball Registration

DHNS Youth Basketball Registration

Winter 2025 | $60 per player

10U and 12U teams (ages 9-12) are now closed
Child's Name*

First NameLast Name
Child's Birth Date*

MonthDayYear
Jersey Size*
Current Age*
Gender*

MaleFemale
Home Address*
City, State & Zip*
Child's School*
Current Grade*
What race and/or ethnicity does your child identify as? Check all that apply. This question will solely be used for grant demographic purposes.

American Indian/Native AmericanAsian/Pacific IslanderBlack/African AmericanHispanic/LatinoWhite/CaucasianOther
List any health or medical condition(s) that may affect player participation.
Parent's Name*
Parent Phone Number*
Parent's Email Address
Emergency Contact*
Emergency Contact Number*
Download and read the DHNS Player Participation Waiver.
Check below if you understand and accept the DHNS Participation/Waiver of Liability.*

I have read, understood, and accepted the above league parental releases.
Enter your name below as your electronic signature*
Fee: $60 due by 1/11/25

Pay fees onsite - only cash accepted onsite on Saturday, January 11 at Evaluation.

Pay fees through Cash App: $DHNSYouth – Include child’s name in notes.

Pay fees through Zelle: Use dhnsyouth@gmail.com - Include child's name in notes.
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