2021-2022 Wyoming Valley Clutch Winter Basketball League
Boys and Girls Divisions / Cost $80
Pee Wee (Ages 4-6)
1st & 2nd Grade
3rd & 4th Grade
5th & 6th Grade
7th & 8th Grade
Individual & Team Registrations Accepted
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Email *
Player Information
First Name *
Last Name *
Gender *
Shirt Size *
Grade *
Date of Birth *
School *
Street Address *
City *
State *
Zip Code *
Parent/Guardian *
Phone Number *
Emergency Contact (Name) *
Emergency Contact Number *
Special Requests
I , the parent/guardian of the registrant, a minor, do agree and will abide by all the rules of the Wyoming Valley Clutch LLC & Catholic Youth Center (CYC). l recognize the possibility of physical injury associated with participating in Wyoming Valley Clutch LLC & CYC sponsored activities, and in consideration for the Wyoming Valley Clutch LLC & CYC providing these activities, do release the Wyoming Valley Clutch LLC & CYC and its staff members from all liability for any injuries sustained while on CYC property and/or participating in CYC activities.
Waiver Acceptance *
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