Cowan Heights Youth Basketball League
Applicant Information (Mandatory)
|
Name: |
Age: |
|
Address: |
Gender: ¨ M ¨ F |
|
City:
Postal Code: |
DOB: |
|
Phone: |
Grade: |
|
MCP: (Mandatory) |
School |
Is the registrant
returning from a previous session? ______
Does the registrant
have prior basketball experience? ______
If so, please elaborate:
___________________________________________________________
______________________________________________________________________________
Does your son/daughter have any medical condition(s) that may affect his/her participation in this
league? ________
If yes, please describe:
___________________________________________________________________________________
___________________________________________________________________________________
In case of emergency, contact: ___________________________TEL:_________________(Mandatory)
Parental Information
|
Father’s Name:
|
Phone: (H) |
|
|
(W) |
|
Mother’s Name: |
Phone: (H) |
|
|
(W) |
|
|
e-mail Address: |
Are you interested
in co-coaching your son’s/daughters team? _____,
Are you interested
in being a divisional convener? _______________
Are you interested
in volunteering any time with CHYBL? ____________
If you answered
yes to the any of the above questions please provide your name.______________
This information
will be distributed to coaches and conveners.
Refund Policy: No refunds will be given after the second scheduled game unless for medical reasons
and approved by the league executive. No refunds will be given after the 5th
scheduled game.
Date: _____________ Amount: _________ Cheque: ____________ Cash: __________