Basketball Sign Up Form
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Address *
Street, City, Zip Code
Your answer
Phone *
Number where you are best available
Your answer
Email
Please Provide if you have one. This allows for important updates on sports.
Your answer
Parent/ Provider Name *
If no parent or provider please put Self
Your answer
Would you like to receive text message reminders? *
If yes, please provide the cell phone number you wish to receive text messages.
Your answer
Which group would you like to participate in? *
PLEASE NOTE! Team basketball includes all of the Butler County teams. Coaches will sort athletes interested in playing on teams and contact you with your practice times and locations. Lakota team does not begin until December, so registration will be open longer for this group ONLY. You must be in the Lakota schools to participate in the Lakota Team.
Required
Do you have a current medical form on file with us? *
Must be within the last 3 years.
Uniform size *
Submit
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