Please complete one form for each child you are registering.
Which league are you registering for? *
Child's Name, first and last *
Your answer
Street address, City + Zip
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Grade
Your answer
Jersey Size (youth sizes)
Clear selection
Cell phone number *
Your answer
Other phone number
Your answer
Name of emergency contact
Your answer
Emergency contact phone number
Your answer
Medical (allergies/conditions/medications)
Your answer
The cost to participate in Club basketball is $85 per child if your child already has an active Club membership. A Club membership is required to play in the league and costs an additional $50.
Club basketball payment ($85 per child): *
Club membership payment payment IF your child is not already an active Club member ($50 per child):
Clear selection
Are you available to coach? *
To help offset the cost of running such an awesome league, the Boys & Girls Club is looking for team sponsors. As a sponsor you will get your company name on your team’s jersey. In addition you will receive other team recognition and mentions in Boys & Girls Clubs publications and our website and Facebook. Sponsorships are tax deductible. Ask your employer.
Would you like to sponsor a team?
Clear selection
If so, what is the company name you would like printed on the back of team jerseys?
Your answer
The Boys & Girls Club is lucky to have community sponsors who help make this basketball program possible. Your company can support Club Basketball by purchasing a 4' x 2.5' banner to be displayed in the Boys & Girls Club gymnasium for 1, 2 or 3 years.
Would you like to purchase a company banner?
Clear selection
If so, what is the name of your company or organization?
Your answer
Thank you for registering your child for 2018 Club Basketball. You will be receiving an email soon with more information on teams, coaches, practice and game schedules. If you have any other questions in the meantime, please email ash@bgcshc.org.