2024-2025 BasketBall Registration

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2024-2025 Basketball

Registration Form

Payments will be accepted/arranged in person at registration and are as follows:

10U girls: $195 + $100 uniform fee

10U boys & 12U girls and boys: $495 + $100 uniform fee

14U, JV, & Varsity girls and boys: $650 + $100 uniform fee

Required fundraising amount: $250/player ($500 family max) Families may choose to utilize fundraising options or buyout

PLAYER INFORMATION:

1. *	Player First Name:

2. *	Player Last Name:

3. *	Player DOB (MM/DD/YY)

4. *	Age as of August 1st, 2024:

5. *	Sex:

6. *	Does Player Have Allergies?

7.	Please List Allergies:

8.	BIRTH CERTIFICATE (NEW FAMILIES ONLY; NCHBC REQUIRES PROOF OF AGE)
	Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mov, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip

9. *	Players T-Shirt Size

10.	Players Phone:

11.	Players Email Address:

12. *	Address:

13. *	City:

14. *	Zip:

BASKETBALL FAMILY INFORMATION:

15. *	Father's Name:

16. *	Father's Cell Phone:

17. *	Father's Email:

18. *	Mother's Name:

19. *	Mother's Cell Phone:

20. *	Mother's Email:

EMERGENCY CONTACT:

21. *	Contact Name:

22. *	Contact Phone:

23. *	Relationship to Player:

HANDBOOK AGREEMENT

24. *	I acknowledge that I have reviewed the CHSA Policy Handbook and that by signing my full name below, I am agreeing that my family will honor the requirements and information outlined in each section. I understand that to be a member in good standing and for my player(s) to participate.

Please fill out this medical release if you haven't already!