Early Bird Basketball Registration 2019

The Family Basketball Registration Form is for families that are signing up 4+ players. If you are signing up 3 or less players, please sign them up individually using this form.
Early Bird Basketball Registration 2019

Please fill in the form below.
Player's Name*

First NameMiddle NameLast Name
Parent's Name (If Child Is under 18)*

First NameLast Name
Player Birthdate*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone Number*

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Can we text you?

YesNo
Age (as of 9/1/19)*
School Grade *
Are you a member of Fairview Baptist Church?

YesNo
If not, where?
Coach's Name From Last Year
In consideration of my entry into the Fairview Sports Ministry, I hereby release the church, the sports program, church staff, GCBA and coaches thereof from any claims that might result from my participation and give permission to have photos used for publication and church league/website.*

I agree
Name of Player (Parent/Guardian if player is under 18) completing form
E-mail of player (Parent/Guardian if player is under 18) completing form*
I would like to purchase a jersey ($20)

YesNo
Jersey Size
My Products
prevnext( X )
2019 Early Bird Basketball Registration Fee$37.00

2019 Early Bird Registration Jersey Fee$21.00

Total $0.00
Please make sure to check all boxes (under My Products) that apply before clicking SUBMIT.
Should be Empty:

The Family Basketball Registration Form is for families that are signing up 4+ players. If you are signing up 3 or less players, please sign them up individually using this form.