Trinity Lutheran Church Basketball Registration
T R I N I T Y B A S K E T B A L L
Participating in the
Long Island Lutheran Basketball League

YOU CAN NOW SIGNUP UP TO 4 Players &/or CheerLeaders ON THIS ONE FORM!

For more information, including program fees, visit:
www.TrinityBasketball.Net

THANKS
FAMILY INFORMATION SECTION
PARENT/GUARDIAN Full Name(s) *
Family's complete Home Address *
123 My Rd., MyTown, MyZip
Family Home Phone Number *
Alternate/Emergency Phone Number *
-- incl who or what it is ... e.g. (917.555.1212 Dad Cell) -or- (Aunt Jenny (555) 867-5309)
OPTIONAL: Text Message Number
If you would like a 'rare' Text Message for, say, weather related cancellations, -- you may enter one or more Cell Numbers (no promises you will ever get one!)
Family eMail address(es) *
For General Information from TrinityBasketball -- you may enter one or more eMail addresses
How many are registering from this family? *
. . . sorry, a separate submission is needed for player 5+.
Child -1- REGISTRATION INFORMATION
Player 1 Last Name *
Player 1 First Name *
Playe 1 "Full Name" as it 'might' appear on a plaque or trophy *
-- your call (Bill, Billy, or William Jones), (Liz, Beth, or Elizabeth Smith), etc.
Player 1 will: *
eMail address(es) of Player 1 &/or Parent(s) for COACH to use during season *
-- you may enter one or more eMail addresses
Player 1 Gender *
Player 1 Birth Date (Month Day Year) *
MM/DD/YY
Player 1 Age / Full years -- ON upcoming December 15th *
-- how old on the birthday before Dec.16th
Player 1 School Attending *
Player 1 Grade this September *
Player 1 Church *
-- if "Other", enter Church full name & location.
Player 1 Church 'Status' *
-- if "Other", pls be specific.
Player 1 Returning? *
Did player 1 participate with the TrinityBasketball program last season?
DO YOU HAVE ANOTHER PLAYER OR CHEERLEADER TO ENTER? *
OR ARE YOU DONE SIGNING-UP?
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