2024/2025 House League Registration & Payment – Three Players

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 1st Player You Are Registering

Name Of 1st Player(Required)

First Last

Date Of Birth 1st Player(Required)

1st Player Age As Of December 31st, 2024(Required)

Are there any medical conditions we should be aware of for your 1st Player?(Required)

Please describe the medical conditions that pertain to your 1st player.

Please indicate the division that matches the age of your 1st player(Required)

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

1st Player Apparel

Player Shirt Size 1st Youth(Required)

Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL

Information About The 2nd Player You Are Registering

Name Of 2nd Player(Required)

First Last

Date Of Birth 2nd Player(Required)

2nd Player Age As Of December 31st, 2024(Required)

Are there any medical conditions we should be aware of for your 2nd player?(Required)

Please describe the medical conditions that pertain to your 2nd player

Please indicate the division that matches your 2nd player's age(Required)

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

Apparel 2nd Player

Shirt Size 2nd Player(Required)

Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL

Information About The 3rd Player You Are Registering

Name Of 3rd Player(Required)

First Last

Date Of Birth 3rd Player(Required)

3rd Player Age As Of December 31st, 2024(Required)

Are there any medical conditions we should be aware of for your 3rd player?(Required)

Please describe the medical conditions that pertain to your 3rd player

Please indicate the division that matches your 3rd player's age(Required)

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

Apparel 3rd Player

Shirt Size 2nd Youth(Required)

Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL

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 three players for the 2024/2025 season is $495. 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.

Name

This field is for validation purposes and should be left unchanged.

House League Registration & Payment FormThree Players – 2024/2025 Season

Parent/Guardian Contact Information

Information About The 1st Player You Are Registering

1st Player Apparel

Information About The 2nd Player You Are Registering

Apparel 2nd Player

Information About The 3rd Player You Are Registering

Apparel 3rd Player

Volunteering Opportunities

Consent & Agreement To Our Terms

Payment & Registration

House League Registration & Payment Form
Three Players – 2024/2025 Season