CAPE CRUSADERS

Basketball club

"Building everyday superheroes "

Full Name: _____________________________

Age: ________     Date of Birth: _________________

Parent/Guardian Name:__________________ 

Phone Numbers: __________________________  

           ____________(child cell phone if applicable)                                                  

Address:

    number/street:___________________________________________

                Town:__________________________________     

                     zip:__________________

E-Mail Address: _______________________________ (parent)

                           _______________________________ (child----if applicable)

Grade: ________________            School:__________________________

Grade Point Average: ______________(estimate if not known)

Are you interested in playing on the travel team? __________ y     

                                                                               __________ n

Are you involved in any other activities? (i.e. soccer, baseball, etc) __________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

_______________.

If there is a schedule conflict between the above activity(s) and travel basketball which event will you attend? _____________________________________________________

______________________________________________________

______________________________________________________

_________________________________________________

_____________________________________.

Are you signing up for:

     Full membership: 100.00  _____    (Entitles you to all three instructional programs and to play on a travel team)

     Spring 09 program only: 50.00  ____

****** Please note, this form is not downloadable. If you want to try and copy and fill out ahead of time, please do so. We will have plenty of blank copies available on sign-up night.