St. Matthew UMC Basketball Registration 2019-2020 Youth & Adults

I-Mites (K4-1st) $55
Mites (2nd & 3rd) $70
Midgets (4th & 5th) $70
Juniors (6th-8th) $75
Seniors (9th-12th) $75
Adults $75
Player's Last Name
Your answer
Player's First Name
Your answer
Date of birth (youth) (youth refers to K4-12th gr.)
MM
/
DD
/
YYYY
Age on Sept. 1, 2019 (youth)
Your answer
Grade (youth)
Address
Your answer
Parent(s) Name (youth)
Your answer
Email (parent/adult player) *
Your answer
Cell (parent/adult player)
Your answer
Team registering for: Check one
I have a basketball jersey that still fits:
If yes, my jersey number is:
Your answer
If you need a new jersey, please indicate your size
If you need a new jersey, please give a 1st, 2nd & 3rd choice for jersey number. (legal numbers are 0, 00, 1, 2, 3, 4, 5, 10, 11, 12, 13, 14, 15, 20, 21, 22, 23, 24, 25, 30, 31, 32, 33, 34, 35, 40, 41, 42, 43, 44, 45, 50, 51, 52, 53, 54, 55)
Your answer
I am willing to coach
I am willing to be a team parent (helping with communication) (youth)
Emergency contact name and phone number
Your answer
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