Golden Owls Basketball Registration

Player Information

This team is currently recruiting second-grade boys.

First name *

Last name *

Date of birth *

Current grade *

School

Jersey size

Basketball experience

Parent or Guardian

First name *

Last name *

Relationship to player *

Phone *

Email *

Street address *

Apartment/unit

City *

State *

ZIP code *

Emergency and Medical Information

Emergency contact name *

Relationship *

Emergency phone *

Medical conditions

Allergies

Medications

Physician name

Physician phone

Payment

$30 nonrefundable registration fee. The fee must be paid before the player may participate in team workouts. Selecting Pay Later submits the registration but does not authorize participation.

Pay Now — $30
Continue to secure Stripe Checkout after submitting.

Pay Later
Payment will remain pending and must be completed before workouts.

Agreements and Signature

By signing, I certify that the information provided is accurate, authorize emergency medical care when I cannot be reached, acknowledge the ordinary risks of youth basketball participation, and accept the $30 nonrefundable registration-fee policy. This registration does not guarantee team placement.

I am the player’s parent or legal guardian and accept the registration agreement. *

I give permission for appropriate team photos/video of my child to be used for Golden Owls and Northcrest communications.

Electronic signature — type parent/guardian’s full legal name *

Typing your name constitutes your electronic signature.