2022-2023 Wyoming Valley Clutch Winter Basketball League

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Boys and Girls Divisions / Cost $80
Pee Wee (Ages 4-6)
1st & 2nd Grade
3rd & 4th Grade
5th & 6th Grade
7th & 8th Grade

9th-12th Grade
Individual & Team Registrations Accepted

*Upon completing registration you will receive both a text and email message regarding accepted forms of payment within 24 hours. You must make payment to complete the registration process*

Email *

Player Information

First Name *

Last Name *

Gender *

Female

Male

Shirt Size *

Grade *

Date of Birth *

School *

Street Address *

City *

State *

Zip Code *

Parent/Guardian *

Phone Number *

Emergency Contact (Name) *

Emergency Contact Number *

Are you interested in coaching a team?

Yes

Clear selection

Special Requests

Waiver

I , the parent/guardian of the registrant, a minor, do agree and will abide by all the rules of the Wyoming Valley Clutch LLC & Catholic Youth Center (CYC). l recognize the possibility of physical injury associated with participating in Wyoming Valley Clutch LLC & CYC sponsored activities, and in consideration for the Wyoming Valley Clutch LLC & CYC providing these activities, do release the Wyoming Valley Clutch LLC & CYC and its staff members from all liability for any injuries sustained while on CYC property and/or participating in CYC activities.

Waiver Acceptance *

Yes, I agree.

Required

Send me a copy of my responses.

Submit

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