Registration

Participant First Name*

Participant Last Name*

Age*

Birthdate*

MM

DD

YYYY

Gender*

Male
Female

Grade*

School*

Non-School or Homeschooled Participants need to list school in which where you live. Based on Elementary School or Middle School.

Sport Playing*

Division is based off what age your child is on or before September 1st 2024. 5-6 Basketball Player must turn 5 before November 1st to participate.

Skill Level?*

Beginner (0-1 Years Experience)
Intermediate (2 Year or More Experience)
Advanced (Past All-Star)

Jersey Size*

Size should be close to what your child wears in shirt.

Jersey Number (0-5, 10-15, 20-25, 30-35, 40-45, 50-55*

Please enter a number from 0 to 95.

Basketball Jerseys cannot have digits of 6, 7, 8 or 9

Short Size*

Shorts have drawstring.

Guardian Name*

Guardian Phone #1*

Guardian Email*

Interested in Coaching?*

Yes
No

IF YES: Head Coach or Assistant Coach?

Head Coach
Assistant Coach

Notes

Consent*

The information in this form is correct and I give my Consent for this participant to play and my child has insurance.

-You age division is based on your age on or before September 1, 2024.

-For 5-6 Basketball Child must turn 5 before November 1st.

- Playing up must be approved by WCRD to play up in any sports.

-Players must have individual insurance to participate in any WCRD Leagues.

Payment*

I agree to payments of Cash, Check, Credit Card or PayPal.

Once you click submit it will take you to a paypal link. Please pay using your Paypal account or option of Debit/Credit Card. Cost is $32 online.

Payment Info

Paid Cash/Check
Paid PayPal
Owes

Registration

2024 Winter Registration (Basketball)

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