Chicago Demons Basketball Registration Form

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Chicago Demons Basketball Registration Form

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* Indicates required question

Email *

Your email

Team (Coach's Last Name)

Your answer

Player Name *

Your answer

Address (City/State) *

Your answer

Birthdate *

MM

/

DD

/

YYYY

Cell number *

Your answer

School *

Your answer

Shirt Size *

XS

S

M

L

XL

XXL

Short Size *

XS

S

M

L

XL

XXL

Insurance?

Choose

Yes

No

If yes, provider?

Your answer

Prior Medical issues? *

Your answer

Emergency Contact (please include first and last name, relationship, phone number and email) *

Your answer

2nd Emergency Contact (please include first and last name, relationship, phone number and email) *

Your answer

Submit

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