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Youth Basketball Registration
Winter 2019-2020
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student's Grade (2018-2019 school year)
*
3rd
4th
5th
6th
Students Gender
*
Female
Male
Parent/Guardian #1 - Name
*
Your answer
Parent/Guardian #1 - Phone Number
*
Your answer
Parent/Guardian #1 - Email Address
Your answer
Parent/Guardian #1 - Preferred method of communication
Email
Text Message
Phone Call
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Parent/Guardian #2 - Name
Your answer
Parent/Guardian #2 - Phone Number
Your answer
Parent/Guardian #2 - Email Address
Your answer
Parent/Guardian #2 - Preferred method of communication
Email
Text message
Phone Call
Clear selection
Jersey Size
*
Choose
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Coaching Interest
Head Coach
Assistant Coach
3rd Grade
4th Grade
5th Grade
6th Grade
Head Coach
Assistant Coach
3rd Grade
4th Grade
5th Grade
6th Grade
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