Boys & Girls Clubs of North San Mateo County Division III Fall 2016 Basketball
Fall 2016 Basketball Registration Form
Player First Name *
Your answer
Player Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
School
Your answer
Basketball Experience *
Subdivision *
Some divisions will be split in order to ensure an even level of play. Which subdivision would you like this player to participate?
Specific Requests (Coach, time preferences, other players or school)
The Boys & Girls Club will try to accommodate but placements are not guaranteed.
Your answer
Jersey Size *
Membership Status *
Have you paid membership fees on or after September 1, 2015? (A current membership is REQUIRED to participate)
I am signing up more than one child *
Family rate applies. Please complete a new registration form for each child.
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