MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C903D4.425F9440" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C903D4.425F9440 Content-Location: file:///C:/24F89E39/BBregistration0&09.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Basketball Registration

  &n= bsp; Basketball Registration

Boys and Girls

  &nbs= p;       

Childs Name: ___________________________________= ______________

 

Age: _________________   Date of Birth: _____________= _____________

 

Parent/Guardian Name: __________________________= ______________

 

Address: _______________________________________= ______________

 

________________________________________________= _____________

 

Phone Number:    (home) ________________= _______________________ 

 

(cel= l) _________________________________________

 

E-mail: ________________________________________= ______________

 

Emergency Contact: Name ________________________= ______________

  &nbs= p;            &= nbsp;           &nbs= p;          =

        =         Phone Number _____________________________

  &nbs= p;            &= nbsp;           &nbs= p;          =

Please list any medical conditions, allergies, s= pecial needs or medications taken on a regular basis.

 

________________________________________________= _____________

 

________________________________________________= _____________

 

 

Basketball Experience: _________________________________________

 

Jersey Size: ____________________Shorts Size:___= _________________

 

Parent Signature: _____________________________________________

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