CVAA FASTBREAK GIRLS BASKETBALL REGISTRATION FORM FALL 2017
Greetings all Comox Valley Basketballers and parents! Thank you for showing interest in the CVAA Fastbreak Basketball Program (CVAA FBP) ! CVAA FBP that is being run and coached by longtime community coaches, Grant Ashlee and Peter Parke and is entering its third season after very successful inaugural 2016 and 2017 seasons that saw three girls team compete in 2 highly competitive Victoria club tournaments and a number of mini tournaments!

You are receiving this registration form as a previous participant in CVAA Fastbreak and/or Comox Valley SNBP, a recipient of the North Island Basketball Newsletter or after an email request. Please fill out and submit the registration form attached below (being sure to complete in full all required fields) to ensure participation in CVAA Fastbreak. The $50 signup fee can be paid by cash or cheque payable to CVAA at the player's first Fastbreak session. We look forward to seeing you in September with your smile, shorts, and basketball shoes :) It's never to late to join the CVAA Girl's Fastbreak Program!


Age Group Day Time Location Cost

Girls Grades 5-6-7 Friday 5:15-6:45 pm École au Coeur-de-l'ile $50
Girls Grades 8-12 Friday 5:15-6:45 pm École au Coeur-de-l'ile $50

* Runs September 22rd to December 1st = 11 weeks!
* Tournaments are on weekends on will cost $20 per player per tournament

Join CVAA FASTBREAK TODAY!
Player First Name
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Player Last Name
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Street Address
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City
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Postal Code
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Player Email
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Player Phone Number
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School
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Grade
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Birthday (mm/dd/yy)
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Medical: Allergies - Concerns (write none if not applicable)
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BC Care Card Number
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Family Doctor
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Jersey Size
Ball to Bring Home
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Mother's First Name Last Name (or Female Guardian)
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Father's First Name Last Name (or Male Guardian)
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Mother's Phone Number
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Father's Phone Number
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Mother's Email
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Father's Email
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