2019 Basketball Online Registration Form WCRD Fall Registration Form. Please fill out one form per player per sport. Participant Name #1* First Last Age*Birthdate* MM DD YYYY Gender*MaleFemaleSchool*Basketball Divisions*Coed 5-6Girls 7-8Boys 7-8Girls 9-10Boys 9-10Girls 11-12Boys 11-12Girls 13-14Boys 13-14$30.00 per sport + $2.00 Service Fee Includes Raffle TicketJerseys*Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (34-36)Adult Medium (38-40)Adult Large (42-44)Not AvailableJersey Number*00012345101112131415202122232425303132333435404142434445505152535455Not AvailableIf legal basketball number is duplicated with player on same team the coach will contact you. ThanksShort Size*Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (28-30)Adult Medium (32-34)Adult Large (36-38)Not AvailableParticipant Name #2 First Last AgeBirthdate MM DD YYYY GenderMaleFemaleSchoolJerseysYouth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (34-36)Adult Medium (38-40)Adult Large (42-44)Not AvailableJersey Number00012345101112131415202122232425303132333435404142434445505152535455Not AvailableIf legal basketball number is duplicated with player on same team the coach will contact you. ThanksShort SizeYouth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (28-30)Adult Medium (32-34)Adult Large (36-38)Not AvailableBasketball DivisionsCoed 5-6Girls 7-8Boys 7-8Girls 9-10Boys 9-10Girls 11-12Boys 11-12Girls 13-14Boys 13-14$30.00 per sport + $2.00 Service Fee Includes Raffle TicketParticipant Name #3 First Last AgeBirthdate MM DD YYYY GenderMaleFemaleSchoolJerseysYouth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (34-36)Adult Medium (38-40)Adult Large (42-44)Not AvailableJersey Number00012345101112131415202122232425303132333435404142434445505152535455Not AvailableIf legal basketball number is duplicated with player on same team the coach will contact you. ThanksShort SizeYouth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (28-30)Adult Medium (32-34)Adult Large (36-38)Not AvailableBasketball DivisionsCoed 5-6Girls 7-8Boys 7-8Girls 9-10Boys 9-10Girls 11-12Boys 11-12Girls 13-14Boys 13-14$30.00 per sport + $2.00 Service Fee Includes Raffle TicketGuardian Name* First Last Guardian Phone*Guardian Email* Interested in Coaching?*YesNoIF YES: Head Coach or Assistant Coach?Head CoachAssistant CoachNotes (No Coaches Requests)Consent* The information in this form is correct and I give my Consent for this participant to play.-Must turn 5 before September 1st of 2019 for Basketball - Playing up must be approved by WCRDPayment* Once you click submit it will take you to payment using PayPal or Credit Card. Any registration that is not paid at time of submission will be deleted from entries. Thanks WCRDTotal $0.00
