2008 Online Application
Basketball League

I understand, although I register, it is tentative pending the approval of my parish priest and coach. I have read and understand the Rules as well as the Waiver & Assumption of Risk.

Player League Information

League :

  

Team Playing For :

   
Player Personal Information

First Name :

  
Last Name :  
Street Address :  
City ( No abbreviations) :

 
State :  
Zip Code :  
Phone Number :  --
Email Address :  
Confirm Email Address :  
Jersey Number :  
Age :  
Date of Birth:  
Father of Confession :   
Player Emergency Contact Information

(Can NOT be same as Player Info and MUST be over 18 years old)
First Name :   
Last Name :  
Relationship To Player :   
Street Address :  
City ( No abbreviations) :  
State :  
Zip Code :  
Phone Number :  --
Alternate Phone Number :

 --

Waiver and Assumption of Risk Consent
 
I certify that the information I have provided is accurate and complete and that I have not registered under any other name or team.
Player must initial here to accept this agreement                             .
   

PLEASE REVIEW YOUR ENTRIES AND
MAKE SURE EVERYTHING IS CORRECT BEFORE YOU SUBMIT!
*All Fields Are Required.

I Agree With the Above Terms :     
 please press submit once
 

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