Moanalua Athletic Club 2019-2020 Basketball Registration
Complete the form
Fields marked with a '*' (asterisk) are required
A valid email address is required. The email address will be used to contact you about MAC basketball information.
Email address *
Player's first name *
Your answer
Player's last name *
Your answer
Player's Birth date *
MM
/
DD
/
YYYY
Player's Age *
Age of child on 12/31/2019
Your answer
Player's Gender *
Grade *
School *
Your answer
Tank top size *
Division *
If you are looking at moving your child to a higher age group please contact palmoanalua@gmail.com. Age groups are determined by the age of the child on 12/31/2019
Player's Experience: Has your child played organized basketball in the past? *
Player's Experience: if yes, how many years?
Your answer
Practice days request (optional)
** Please note ** if you place specific days for practice and we cannot accommodate MAC will NOT place child on a team. Therefore requesting days should only be for those who absolutely cannot practice on certain days.
Medical Insurance Coverage Plan? *
Note: If your child does not have medical insurance s/he will not be placed on a team
Name of Insurance
Note: If your child does not have medical insurance s/he will not be placed on a team
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy