SMALL BALL BASKETBALL REGISTRATION OCT 2024
WHEN:  MONDAY's (Oct 7, 21, 28,  Nov 4, 11, 18) 
WHERE: Renfrew Collegiate Institute - RENFREW, ON
TIMES: GROUP C: 6:00PM - 7:00PM                        GROUP D: 7:00PM - 8:00PM
WHO: GROUP C: Anyone ages 9-11                         GROUP D: Anyone Ages 12-14
COST: $85.00

WHEN: TUESDAY's (Oct 8, 15, 22, 29, Nov 5, 12)
WHERE: Queen Elizabeth Public School - RENFREW, ON
TIMES: GROUP A 6:00PM - 7:00PM                      GROUP B: 7:00PM - 8:00PM
WHO: GROUP A:    Anyone ages 5-6                      GROUP B: Anyone ages 7-8
COST: $85.00.

Etransfer to vicki.wilson@sympatico.ca or if you would like to pay by cash please send an email to confirm your spot.
Email *
Child's first name. *
Child's last name. *
What grade are they entering in September of 2024? *
Age of child. *
Birthdate? *
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DD
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Group A or B or C or D? *
Parent/Guardian name *
Parent/Guardian address *
First contact phone number *
Second contact phone number *
Medical concerns *
Emergency Contact Person *
Emergency Contact Phone Number *
Waiver Disclosure:  Please read and acknowledge. The applicant agrees that STARS Basketball and/or proprietors will not be held responsible for any accident, injury or loss however caused and agrees to release the proprietors from all claims which may arise as a result of, or by reason of, such accidents or loss. We (STARS) reserve the right to request any participant to withdraw from the program prior to its termination if the applicant is not acting in the required manner. *
A copy of your responses will be emailed to the address you provided.
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