2024/2025 House League Registration & Payment – One Player

Parent/Guardian Contact Information

Name Of Parent/Guardian(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Information About The Player You Are Registering

Name Of Player(Required)

First Last

Date Of Birth(Required)

Age As Of December 31st, 2024(Required)

Are there any medical conditions we should be aware of?(Required)

Please describe the medical conditions that pertain to this player

Please indicate the division that matches your child's age(Required)

Mini (4-5)
Rookie (6-7)
Novice (8-9)
Atom (10-11)
Bantam (12-13)

Apparel

Player Shirt Size(Required)

Volunteering Opportunities

Check the positions that interest you:

Coach
Assistant Coach
Convenor
Other

No experience necessary but a police check is required.

Consent & Agreement To Our Terms

I, the undersigned parent or legal guardian of the above-named player, do hereby consent and agree that the said player may participate in the Brantford CYO Girls Basketball Inc program. It is understood and agreed that the Brantford CYO Girls Basketball Inc, C.Y.O. Basketball (Brantford) Club, it's representatives and sponsors, assume no responsibility for any injury, loss or damage incurred as a result of the player's participation in the program, or in travelling to or from program events; and I hereby release Brantford CYO Girls Basketball Inc, C.Y.O. Basketball (Brantford) Club, it's representatives and sponsors, from any and all claims for such injury, loss or damage.

Terms & Conditions Consent(Required)

I have read the Terms & Conditions above and by checking this box I agree and consent.

Consent is required to continue registration

I hereby agree that the above players photograph or other visual reproduction may be used by Brantford CYO Girls Basketball Inc and C.Y.O. Basketball (Brantford) Club in it's promotional, publicity and informational material.

Photo Consent(Required)

I consent to the photo release terms above
I do not consent

Payment & Registration

The registration cost for one player for the 2024/2025 season is $175. After you complete and submit this form, please submit your payment via e-transfer to: brantfordcyogirls@outlook.com. Payment must be made prior to participation in the program. This information will also be emailed to you after you submit this form. Please check your spam folder if you do not receive it within 10 minutes after submitting.

Comments

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