Basketball Clinic Registration

Welcome to the team. Please take a moment to fill out the player emergency contact form. This form is required as a team member to ensure player safety and communication. Additionally, please review the player’s code of conduct.

Code of Conduct

Player Information

Name

First Name

Last Name

Phone

(###)

###

####

Age

Date of Birth

YYYY

Grade

Shirt Size

Shorts Size

Allergies

Medical Conditions

Parent/Guardian Information

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Basketball Clinic for Girls (Grades 5-8)

MIKA Sports Association Basketball Clinic for Girls (Grades 5-8)

$50.00

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