Youth Basketball Registration Form 2017-2018

Please register one child at a time.  Payment is due at the time of registration.

First
Last
First/Last
First/Last
Please enter where you heard about our program

Basketball Programs

Note that the cost for the program changes depending on when you register. Please choose the appropriate option based on today's date. Paying an incorrect amount may result in cancellation of your registration.
Registration Deadline: 11/27/17

DO NOT SIGN UNTIL READING THE ABOVE WAIVER.

I HAVE READ THE FOREGOING CONDITIONS OF MEMBERSHIP, GUEST PRIVILEGES AND AGREE TO THESE PROVISIONS.

Sign this form acknowledging the policies above and agreement to the waiver and release by typing your full name in the box.
Important: After clicking submit you will be taken to PayPal to complete your payment. You may receive an email confirmation of the form submission prior to completing the PayPal payment. Registration will not complete without payment.