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 5^th scheduled game.

 

 

Date:  _____________   Amount: _________    Cheque: ____________   Cash: __________