Select Page

Please note: these sign-ups are for 3rd, 4th, & 5th Graders (for 1st & 2nd Grade Sign-ups, please use the Southern Dribbler’s Form)

2021/2022 Youth Basketball Registration Form

"*" indicates required fields

MM slash DD slash YYYY

Parental Consent*
MM slash DD slash YYYY

Registration Selections

Please Note: enter a quantity of the NUMBER OF CHILRDEN you are registering. E.g. Enter a 1 if you are only registering one child
Price: $50.00
T-Shirt Size*

Become a Sponsor

If you would like to become a sponsor, the cost is only $100 for the entire season and 100% of the sponsorship money will go towards equipment, referee pay, and special events for the kids. Simply enter a "1" in the quantity box below to help our cause.
Price: $100.00
If you are becoming a sponsor and would like your business name recognized, please enter your business name here.

I would be willing to participate in the following way:
THIS IS THE TOTAL THAT YOUR CREDIT CARD WILL BE CHARGED
This field is for validation purposes and should be left unchanged.