Boys and Girls Basketball Registration Player Name Date of Birth Grade Gaurdian Name Relationship to player Address Phone number Insurance Company and Policy # Responsible Party Emergency contacts ( Please provide 2 ) Medical Conditions Shirt size I understand that this is a community youth organization and my childs photo may be published as a participant in the activities he/she has registered for There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.