DBC Online Basketball Registration 2009

Child One First and Last Name:
Child One Grade:
Child One T Shirt SIze:
Child Two First and Last Name:
Child Two Grade:
Child Two T Shirt SIze:
Child Three First and Last Name:
Child Three Grade:
Child Three T Shirt Size:
Email Address:
Father's First and Last Name:
Mother's First and Last Name:
Guardian's First and Last Name:
Intersted in helping? Check as many as apply:	Coaching Assistant Coaching Scorekeeper
Full Address:
Phone Number:
Cell Phone Number:
Understand that we cannot guarantee anyone a certain coach or teammates. We try to make sure that all teams are equally staffed and comprised. Your child[ren] are not fully registered until you sign the permisson slip (supplied later) and pay the fee.	I understand

Dundee Baptist Church