Registration Form - WCC Chapel Ball 2024-25

Please fill out the form and complete the payment process through PayPal. You do not have to have an account with PayPal to complete payment process. You are not registered until you receive a confirmation of payment email. All payments must be made online.

How many children are you registering? * Select an option:123 Child 1 First Name * Last Name *

Gender *

Male Female

Age before December 1, 2024 (Must be 5+) * Grade Level * Select an option:2nd3rd4th5th6th

Refund will be issued if not pulled from waitlist

Birthday *

T-Shirt size * Select an option:Child SChild MChild LChild XLAdult SAdult MAdult LAdult XL Height *

Years of Basketball Experience *

0 1 2 3 4 5+

Child 2 First Name Last Name

Gender

Male Female

Age before December 1, 2024 (Must be 5+) Grade Level -2nd3rd4th5th6th

Refund will be issued if not pulled from waitlist

Birthday

T-Shirt size -Child SChild MChild LChild XLAdult SAdult MAdult LAdult XL Height Years of Basketball Experience -012345+ Child 3 First Name Last Name

Gender

Male Female

Age before December 1, 2024 (Must be 5+) Grade Level -2nd3rd4th5th6th

Refund will be issued if not pulled from waitlist

Birthday

T-Shirt Size -Child SChild MChild LChild XLAdult SAdult MAdult LAdult XL Height Years of Basketball Experience -012345+ Parent/Guardian First Name * Last Name * Contact Number * Alternate Phone Number Email * Alternate Email Address Line 1 * City * State * Select an option:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Name of church (if applicable) I am willing to be a Parent Volunteer CoachAsst CoachClock KeeperScorebook KeeperOther (Please Explain)No thanks! Special Considerations Registration Cost * Select an option:1 Child ($100 USD)2 Children ($200 USD)3 Children ($300 USD)

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I have read and agree to the waiver & liability release * Signature *

Date: Saturday, 28 September 2024 (EDT)

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