2024 Fall Basketball/Cheerleading Registration Runs Through 10/20/2024

Basketball Practice Begins 10/21/2024

Basketball Games Start 12/7/2024

Please fill out a separate form for each child

Child's First name

Child's Last name

Child's Date of Birth

Child's Address

Child's Current Age

Child's Current Grade

Best Phone Number

Parent/Guardian First and Last Name

Parent/Guardian Email

Parent/Guardian Address

Parent/Guardian Phone Number

Emergency Name & Phone Number (Other than yourself)

List any allergies/medical conditions we need to be aware of?

What Elementary School does your child attend?

SPORT INFORMATION

Select Your Child's Basketball Level

Child's Shirt Size

Select For Cheerleading

Mascot (4 Years - Kindergarten)

JV (1st - 5th Grade)

Varsity (6th - 8th Grade)

None

REGISTRATION PAYMENT

Registration Payment

Individual Child Registration Fee$70

Pay in Person on In-Person Registration Dates: Oct 6$0

Additional Donations to the Flat Rock Youth Association to support youth activities appreciated - (Optional)

Donations

$10

$20

$30