4th Presbyterian Church Basketball Registration Form 2018 - 2019
Please fill out this online form below to register your child for church basketball.

Registration fees are $75 per child with a family max of $150.
Please remit payment to: Fourth Presbyterian Church 703 E Washington St, Greenville, SC 29601 or you can drop off a check in the church office. Reference "church basketball" on your check.
Registration and payment is due by Wednesday, October 3.

NOTE:
Please complete one registration form for each player to ensure we collect all of the necessary information on each player as required by the league.

SCHEDULES:

• Practices will start in October and are once a week depending on coach’s schedules/availability.

- Senior High games are on Monday nights.
Game dates are: 11/12, 11/19, 11/26, 12/3, 12/10, 12/17, 1/7, and 1/14.

- Youth games are on Saturday mornings
Game dates are: 11/10, 11/17, 12/1, 12/8, 12/15, 1/5, 1/12, and 1/26.

QUESTIONS/CONCERNS:

• Please contact Brian Hunnicutt via email bhunnicutt@gmail.com or call/text at 864-275-1822.

Player First Name *
Your answer
Player Last Name *
Your answer
Please select one of the following options as it pertains to your child:
Player Date of Birth *
MM
/
DD
/
YYYY
Current grade of player *
What school does your child attend? *
Your answer
Is your child going to try out for their school team (for Jr & Sr High teams)?
Division (based on players grade level) *
Shirt Size
Player / Parent Code of Conduct:
Please click on the link above to read the Player/Parent code of conduct. By checking the "YES" box below, you are verifying that you and your child have read, understand, & agree to abide by this Code of Conduct *
Required
Insurance Release Form
https://tinyurl.com/y9q3x7m8

Please click on the link above to review the Insurance Release Form. Please fill out this form and return it with your registration payment or you can scan/email it to bhunnicutt@gmail.com.

Parent Information
Father/Guardian: Full Name
Your answer
Father/Guardian: Mobile Phone Number
Your answer
Father/Guardian: Email Address
Your answer
Mother/Guardian: Full Name
Your answer
Mother/Guardian: Mobile Phone Number
Your answer
Mother/Guardian: Email Address
Your answer
Are you a member of 4th Presbyterian Church? *
If you selected "No" above, are you attending another church? If so, which one? (We must ask because the league rules stipulate that a player can only play for another church if his/her home church does not participate in the league and only 20% of each team can be non-members).
Your answer
COACHING: Are you interested in coaching a team this year?
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