Fall 2019 Blaze Basketball Registration
Vail Blaze Basketball is a year-round club team, by completing this registration form I agree to enroll my child in the club for the Fall 2019 season. The registration fee is $180 for 1 child and $160 per child if you have multiple children. Registration fee is $200 after August 31st for 1 child or $180 for multiple children.

Player evaluations are being held the last week of August @ Old Vail Middle School, Details will be listed on the website. Your welcome email will provide more details as to which nights each age group will come for evaluations. Practice schedules will be determined by coaches.

Players who are registered in the YMCA youth basketball league. Games begin Sept 21st and will go through Mid November.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthdate *
Your answer
Child's shorts size *
Child's grade in school *
Child's gender
Parent's Name *
Your answer
Parent's email *
Your answer
Parent's Cell Phone *
Your answer
Other Parent's name
Your answer
Other Parent's email
Your answer
Other Parent's Cell Phone #
Your answer
Would you be willing to Volunteer to be a head coach for your child's team? *
Would you be willing to Volunteer to be an Assistant coach for your child's team? *
Emergency contact *
Your answer
Emergency contact phone number *
Your answer
Medical Acknowledgement *
Required
Safety Acknowledgement *
Required
Registration Payment Acknowledgement *
Required
By typing your name below you agree that the above information is correct and you agree to the above acknowledgements. *
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