UPWARDS SPORTS REGISTRATION

UPWARDS SPORTS REGISTRATION

GENERAL INFORMATION

I am registering my child for Basketball Cheerleading

Last Name: First Name: M.I.

Address:

City: State: Zip:

Home Phone: () Cell Phone: ()

Parent's E-mail:

Church:
(If you regulary attend church, which one?)

Player Information Notes (if any):

Gender: Grade: Date of Birth:

How many years has your child played organized basketball?

CONTACT INFORMATION

Father/Guardian:

Work Phone ()

I would like to assist this league by being a: Coach Referee Team Parent

Mother/Guardian:

Work Phone ()

I would like to assist this league by being a: Coach Referee Team Parent

Emergency Contact:

Daytime Phone Number: () Evening Phone Number: ()

SIZING (completed at evaluations)

Jersey/Cheer Top (circle one): YS YM YL YXL/AS AM AL AXL

Basketball Shorts (optional, circle one): YS YM YL YXL/AS AM AL AXL

Skort Size (circle one): YS YM YL YXL/AS AM AL AXL

Cheer Mock Turtleneck (optional, circle one): YS YM YL YXL/AS AM AL AXL

PRACTICE NIGHT EXCLUSION

If applicable, circle one night your child CANNOT practice: Monday Tuesday Wednesday Thursday Friday

EVALUATIONS (Coach's use only)

Lane Shooting: ______________ Right-Side Shot: ______________ Left-Side Shot: ______________

Defensive Side: ______________ Right Hand Dribble: ______________ Left Hand Dribble: ______________

PAYMENT INFORMATION

Participant Fee _______ + Shorts _______ + Turtlenecks _______ + Late Fee _______ = Total $ _______

Office Use Only: Paid ___________ Amount $ ___________ Type _____________