Youth Basketball

Youth Basketball

Basketball Registration Form

Use the Basketball Registration Form below to register your child for a Second Baptist Church CYO team. Boys and girls grades 2-8 teams will be formed based on the number of registrations. The registration fee is $145.  (A K-1 instructional team is available for a registration fee of $10.)

Pay using the Paypal link or send a check made payable to “Second Baptist Church basketball” to Second Baptist Church, 589 Granby Rd, South Hadley, MA 01075.

Registration fees

 

By submitting a registration form you agree to conduct yourself in a responsible manner being respectful to the coaches, referees and other players.

Player's Name (required)

Grade (required)

Date of Birth (required)

Gender (required)

Medical disclosures (if none, please state none) (required)

Mom's Name (required)

Mom's Address (required)

Mom's Telephone (required)

Mom's Email (required)

Dad's Name (required)

Dad's Address (required)

Dad's Telephone (required)

Dad's Email (required)

Emergency contact info if not mom or dad (required)

Please indicate uniform size (youth small through adult sizes avail)

Please choose 3 numbers for your uniform (i.e. 23, 24, 30)

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