Basketball Registration Form

MAAC League

For boy and girls grades 6th to 8th

Season: November 7 to December 18 2019

Cost: $225 per student (FACTS Account will be charged when the season starts)

Student Information
Student Name *
Student Name
Team *
Parent Information
Parent/Guardian Name *
Parent/Guardian Name
Cell Phone *
Cell Phone
Home Phone
Home Phone
Emergency Contact
Emergency Contact Name *
Emergency Contact Name
Cell Phone *
Cell Phone
Signature *