Basketball League Team Registration 2021 - 2022

* Required Fields
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Fee: $250.00
Basketball League
Team Registration
Registration Deadline: January 3, 2022 
League Start Date: January 15, 2022

Thank you for your interest in our league. We will strive to make your experience an enjoyable one. Please make note of the following:

WE WOULD PREFER THAT YOU MAKE THE PAYMENT FOR YOUR TEAM ONLINE. IF FOR SOME REASON YOU CANNOT MAKE THE PAYMENT ONLINE YOU WILL STILL FILL OUT THIS FORM COMPLETELY, SUBMIT IT, AND TURN IN ONE PAYMENT FOR THE ENTIRE TEAM IN THE FORM OF A CASHIERS CHECK OR MONEY ORDER PAYABLE TO:  ST. PHILIP'S SCHOOL & COMMUNITY CENTER.  YOUR TEAM IS NOT REGISTERED UNTIL PAYMENT IS RECEIVED. 

NO PERSONAL CHECKS WILL BE ACCEPTED
Organization Name
*Team Name
*Age Group
 4 & Under Coed 
 6 & Under Coed 
 8 & Under Girls 
 8 & Under Boys 
 10 & Under Girls 
 10 & Under Boys 
 12 & Under Girls 
 12 & Under Boys 

Primary Contact Information

*First Name
*Last Name
*Email
*Address
*Cell Phone

Secondary Contact Information 

*First Name
*Last Name
*Email
*Contact Number

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy

Player Information

First Name
Last Name
Date of Birth
mm/dd/yyyy
Waiver
I understand that before submission of this registration form that it is my responsibility to make sure each of my players parent or guardian has read and agrees with the following waiver. I, the coach/team manager and the player’s parent or guardian agrees that the players must abide by the rules and regulations set forth by St. Philip's School & Community center during, before and after all practices and games.  In case of an accident or illness, I authorize the calling of medical services.  In the event that medical emergency attention is deemed necessary, I give permission for medical treatment to be administered by a physician/hospital/clinic or EMS personnel.  I release from liability and agree to hold harmless St. Philip's School & Community Center, its officers, agents or representatives, from any injuries which may arise from my player's participation in recreational activities including but not limited to basketball practices and games, any transportation to and from such events, and any other activities sponsored or conducted by the parties mentioned above. I give permission for the taking and usage of photos by St. Philip's School & Community Center.
*Waiver Confirmation
 I have read and agree with the waiver agreement. 
*Gender
*Ethnicity
*Race
Basketball League
Team Registration
 
League Start Date: January 15, 2022

Thank you for your interest in our league. We will strive to make your experience an enjoyable one. Please make note of the following:

WE WOULD PREFER THAT YOU MAKE THE PAYMENT FOR YOUR TEAM ONLINE. IF FOR SOME REASON YOU CANNOT MAKE THE PAYMENT ONLINE YOU WILL STILL FILL OUT THIS FORM COMPLETELY, SUBMIT IT, AND TURN IN ONE PAYMENT FOR THE ENTIRE TEAM IN THE FORM OF A CASHIERS CHECK OR MONEY ORDER PAYABLE TO:  ST. PHILIP'S SCHOOL & COMMUNITY CENTER.  YOUR TEAM IS NOT REGISTERED UNTIL PAYMENT IS RECEIVED. 

NO PERSONAL CHECKS WILL BE ACCEPTED
Total Due:
$ 
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