FBC Basketball Registration

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Early Registration Fee: Begins Oct 15 – Last Day Nov 14
$40 FOR CHILDREN Ages 6-18
$60 ADULTS
Late Registration Fee: Any Time After November 14
$45 FOR CHILDREN Ages 6-18
$65 FOR ADULTS
If you do not have a uniform or it does not fit or is worn to rags: Fill out a uniform order form
Payment can be made with a check or online at https://app.securegive.com/FBCAugusta/main/donate/category (Please note players full name - Basketball)
You MUST fill out the Insurance and Permission form found on the church website here: https://discoverfbc.org/basketball-registration-2/

Name *

Home Address *

Employment (Adult League Only) *

Home Phone

Office Phone

Cell Phone

Parent Email *

Student (19 & Under) Email

Birthday *

YYYY

Age *

Gender *

Female

Male

Jersey Number & Size (If you have one)

Any Medical issues to be aware of *

Doctor's Name *

Doctor's Phone Number *

Doctor's Office Address *

Insurance Company *

Policy Number *

In Case of Emergency Contact (Name) *

In Case of Emergency Contact (Address) *

In Case of Emergency Contact (Phone) *

Team You are Registering for (Coed) *

Under 9

Under 11

Under 13

Under 15

Under 19

Adult League (16 and Above)

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