Shady Grove Upward Registration
We are so glad that your child is interested in playing basketball with Shady Grove Church! Simply read the initial information, complete all questions, and submit. If you have more than one child to register, you will have the option to submit a second registration after completion.

Within 24 hours of submitting this registration form, your registration will be reviewed and you will be contacted. Please note that there are only a few spots remaining per age group, so in the event registration reaches maximum capacity, you will be notified to determine if you wish to be placed on the wait list.

Player's Full Name *
Your answer
Full Address *
Your answer
Gender *
Date of Birth *
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DD
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YYYY
Grade *
Parent/Guardian Information - Guardian 1 - Name & Relationship *
Your answer
Guardian 1 - Cell Number *
Your answer
Guardian 1 - Email *
Your answer
Guardian 2 - Name & Relationship *
Your answer
Guardian 2 - Cell Number *
Your answer
Guardian 2 - Email *
Your answer
Player Lives With *
Back-up Emergency Contact - Name *
Your answer
Back-up Emergency Contact - Cell Number *
Your answer
Church your family attends regularly (if none, please state N/A) *
Your answer
Friend Request (We attempt to honor 1 request per player to be placed on a team with a friend when that is possible. If your child wishes to play with a friend, please state the friend's name here. Please note that there are no promises that this request will be honored. If none, please state N/A) *
Your answer
The registration fee is $85 per player. The registration fee is due (by cash, check or money order) at evaluations (which will be held in early December). Please acknowledge that the registration fee will be paid at evaluation. If not paid at evaluation, your child's registration will be canceled. *
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