Kings & Queens Rise Registration

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

King and Queens Rise season 2023 is HERE!

To register your child to play for the Marina Vista team please complete the following form.

Any questions or concerns please email balloutacademy916@gmail.com or call 510-866-6216

Separate submission for each child.

Youth/Participant First Name *

Youth/Participant Last Name *

Gender *

School *

Grade (Spring 2023) *

Age *

Birthdate *

YYYY

Ethnicity *

Address *

City *

Zip code *

Black Child Legacy Neighborhood *

Parent or Guardian's Full Name *

Parent or Guardian's Contact *

Parent or Guardian's Email *

Emergency Contact (Other than Parent/Guardian) *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Alternate Pick Up Name *

Alternate Pick Up Relationship *

Alternate Pick Up Contact *

Please make a selection: Which team are you registering

4-6th grade

7-8th grade

9-10th grade

10-11th grade

12th grade

Arden Arcade

Fruitridge/Stockton

Meadowview

Marina Vista/Seavey Circle

North Highlands/Foothill Farms

Oak Park

DPH/ North Sac

Valley Hi

Jersey Size *

Child S (6-8)

Child M (10-12)

Child L (14-16)

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms