Basketball Register Form

Registration Fee: $

* indicates a required answer

NOTE: Before continuing please review the Activity Details of our program.

In order to play on the court, your child must be fully registered and all documentation must be submitted.

PARENT INFORMATION

Parent First Name

Parent Last Name

Address

Cell Phone

STUDENT INFORMATION

Student 1 Name

Student Grade

Student Projected Year of High School Graduation

Student Height (feet & inches)

Student Waist Size

Student Jersey Size

Returning Player?

Has student played competitive orgaized basketball before?

If yes, how many years?

If you have more students you want to register please click the register button again.

Thank you for registering for Nets Basketball.

We look forward to a fun and exciting year!

Primary Alternate Person to call in case of emergency

Primary Emergency Alternate Cell Number

EMERGENCY CONTACT

Secondary Alternate Person to call in case of emergency

Secondary Emergency Alternate Cell Number

Birthdate

ALMOST DONE!

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North Jersey Home Schoolers Association