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STAA Winter Registration Form
This form must be submitted and accompanied by a current Physician Release Form and any required registration fees PRIOR to the start of the Winter 2022-23 season in order for ANY student to participate
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* Indicates required question
Sport Registering For
*
Cheerleading (Grades K-8)
Basketball (Grades K-8)
Player Name
*
Your answer
Grade
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Address
*
Your answer
Gender
*
Male
Female
Uniform Size
*
YS
YM
YL
AS
AM
AL
AXL
Player Allergies
*
None
Bee or wasp stings
Food, nuts or candy
Medications
Other:
Required
Player Medication(s)
*
None
Other:
Required
Parent / Guardian Name
*
Your answer
Parent / Guardian Phone Number
*
Your answer
Parent / Guardian Email Address
*
Your answer
Parent / Guardian Name
Your answer
Parent / Guardian Phone Number
Your answer
Parent / Guardian Email Address
Your answer
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