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2025 REP Tryout Registration Form

The registration fee for the 2025 REP Tryouts is $25.

Please note that selecting Rep League does not guarantee your child a spot on a team but will ensure that they are added to the appropriate list of tryouts. Please complete a new form for each child.

After you complete and submit this form, please submit your $25 payment via etransfer to:

brantfordcyogirls@outlook.com

Payment must be made prior to participation in the program.

2025/2026 Rep Registration Form

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

Parent/Guardian Contact Infomation

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 Youth You Are Registering

Name Of Youth

First Last

Date Of Birth(Required)

MM slash DD slash YYYY

Age As Of December 31st(Required)

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

Please describe the medical conditions that pertain to this registrant.

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

U10 - 2016/2017

U11 - 2015

U12 - 2014

U13 - 2013

U14 - 2012

U15 - 2011

U16/U17 - 2009/2010

U19 - 2007/2008

Based on age as of December 31st. of current year.

Consent & Agreement To Our Terms

I am the parent or legal guardian of the above-named player. I do hereby consent and agree that the said player may participate in the Brantford CYO Girls Basketball program. It is understood and agreed that the Brantford CYO Girls Basketball, 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, 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 player's photograph or other visual reproduction may be used by Brantford CYO Girls Basketball 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 Information

The registration fee is $25.

After you complete and submit this form, please submit your $25 payment via etransfer to: brantfordcyogirls@outlook.com

Please note that selecting Rep League does not guarantee your child a spot on a team but will ensure that they are added to the appropriate list of tryouts. Please complete a new form for each child.

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.