What sport are you registering for?
*
Select an option:
Basketball
Did you play MCRC Basketball in the Winter 2023-2024 season?
*
Yes
No
Uniform Size Needed
*
Select an option:
None, I have my uniform from Winter 2023-2024
Youth XSM
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult 2XL
Player's First Name
*
Player's Last Name
*
Player's Birthdate (mm/dd/yyyy)
*
Gender
*
Male
Female
Player's Address
*
Parent's Name 1
*
Parent's Phone Number 1
*
Email Address Parent 1
*
Emergency Contact Name (Other than Parent 1)
*
Emergency Contact Phone Number
*
Allergies and Other Medical History
Special Requests (Coach's Name, practice day/time, etc.)
If your child qualifies for WIC, SNAP, or Medicaid benefits, please upload a copy of their card to qualify for a community outreach program offered by MCRC to cover part of the registration fee.
Remove
Remove uploaded file
I understand that our organization is run by 100 percent volunteers. I will volunteer in the following way:
*
Select an option:
Head Coach
Assistant Coach
Team Parent
In-House Game Clock Operator
In-House Game Day Gym Marshall
Practice Gym Marshall
Assistant Travel Commissioner
Assistant In-House Commissioner
I understand and agree that an invoice for the registration fee will be sent to the email address provided and that the invoice MUST be PAID before registration is complete.
*
Yes
No
I understand and agree that I must attend a parent's meeting before the 1st practice and complete additional participant waiver paperwork before my child can participate.
*
Yes
No
*
indicates required fields