2017-2018 CORE CITY HOOPS – TRAVEL PROGRAM REGISTRATION FORM
Please fill in the following form to register for this year's Core City Team. Once you have successfully completed the form, a summary of your submission will be emailed to the address provided. For more information about our program, please visit: http://www.corecityhoops.com/
Parent's Information:
What is your name? *
Your answer
What is your email address? *
Your answer
What is the best contact number to reach you at? *
i.e. home or cell number
Your answer
What is your home address and postal code? *
Your answer
Would you be interested in coaching? *
Child's Information
What is your child's name? *
Your answer
What is your child's date of birth? *
MM
/
DD
/
YYYY
As of September 2017, what grade is your child in? *
What is your child's health card number? *
Your answer
Please indicate any past travel basketball experience below. The year, team, club etc. *
Your answer
Emergency Contact
Please list someone we can contact in the case of an emergency *
Your answer
Relation to the child? *
i.e. Grandparent, neighbour, aunt, uncle etc
Your answer
Emergency contact number *
Your answer
How will you pay for registration? *
Please visit http://www.kidsportcanada.ca/ontario/windsor/apply-for-assistance/ to see if you qualify for a sports grant.
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