Player Registration Form

Complete the form below to register your player in our In-House or Traveling basketball programs.

Basketball Program

We offer a number of different youth basketball programs. Please select a program from the following drop-down menu.

Select a Program *

Fall Basketball Program (Girls Only)

If you have selected the "Girls Traveling Program" then you have the option of also registering for this program. Fall basketball is an optional girls program offering for grades 5-8. The program is based on 9 player teams playing a 4 week schedule. Team formation, actual game schedules, and fees may vary based on the number of players that register.

Would you like to also register for the girls Fall Program?

Player Information

Please provide the following information about the player registering.

Player's Name *

Phone Number *

Address *

City *

State *

Zip Code *

Grade *

Gender *

Height *

Shirt Size *

Traveling team participants will try on uniform shirts at tryouts.

Short Size *

Traveling team participants will try on uniform shorts at tryouts.

Medical Information

Please provide the following medical information for your child.

Child's Medical Facility *

Doctor's Name

Phone Number

List any medical conditions.

Please include any comments that will help us consider where your child should be placed.

Parent or Guardian Information

Please provide the following information.

Parent/Guardian Names *

Home Phone *

Cell Phone

Email Address *

Emergency Contact *

Relationship *

Phone Number *

Parent/Guardian Agreement *

I hereby agree to assume responsibility for any injury that may occur to my son/daughter in conjunction with this basketball program.

I do not agree to assume responsibility.

Coaching Information

Please complete the following fields if you or someone else you know is interested in coaching a team.

Interested in Coaching?

If Yes, please enter the person's name as the Head Coach Candidate or the Assistant Coach Candidate below.

Head Coach Candidate

Assistant Coach Candidate

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in-house league fEES

traveling league fees