2010 REC. REGISTRATION.
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! Indicates required information
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| ! Grade & Level: |
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| ! First Name: |
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| ! Last Name: |
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| ! Uniform Size: |
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| Height (ie; 4' 8"): |
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| ! Address: |
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| ! City: |
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| ! State: |
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| ! ZIP: |
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| ! Phone: |
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| ! Email Address: |
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| Email Address 2: |
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CHECK IF YOU DO NOT WISH TO RECEIVE EMAIL UPDATES FROM THE WBA
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| ! What school will your child attend this Fall: |
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As the Player's parent or guardian, I hereby give my permission for the Player to participate in the Wilsonville Basketball Association's ("WBA's") activities. I acknowledge that these activities may be hazardous and I hereby fully and completely release the WBA and its representatives, agents, board members, officers and coaches from any and all liability of any kind that may arise out of or result from these activities. In case of emergency, the WBA and its representatives, agents, board members, officers and coaches have my permission to call an ambulance and seek treatment for Player from any health care provider at my expense.
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I acknowledge reading this paragraph and agree to it !
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We are looking for volunteers to serve as game monitors, in concessions, in fund raising, as tournament hosts, to assist or serve on the Board of Directors, etc. Even occasional help will be greatly appreciated.
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| ! I would like to help: |
YES
NO
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PLEASE CLICK THE "SUBMIT FORM" BUTTON BELOW TO PROCEED TO THE CONFIRMATION & PAYMENT PAGE TO FINALIZE THE REGISTRATION.
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! Indicates required information
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Select the appropriate fee for this registrant:
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Note: Credit Card information can be entered once this form is complete.
We accept the following credit cards
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