The King’s Court Basketball Registration Form
for the 2017-2018 Season
For the 2017 – 2018 Season Schedule and Important Dates Click Here
The games are played in the gym at Emmaus Baptist Church – click here for directions.

Your Child's Information:

Last Name

First Name

Middle Initial

Gender

School Grade

Date of Birth

Height

Select Your Child's Shirt Size (this will be for their uniform).



Your Contact Information:

Parent's Name

Address

Email
Note: A copy of this registration will be emailed to this address

Home Phone

Cell Phone

Emergency Contact Name

Emergency Contact Phone Number

Do you currently attend a church?
YesNo

What church do you attend?

Would you be willing to coach your child's team? YesNo

Would you be willing to referee? YesNo

Would you be willing to work concessions? YesNo

Would you be willing to assist with score & time keeping during the games? YesNo

I have read and agree with the Agreement & Release Form (see link below).
YesNo

Any additional notes you would like to provide?

captcha

Agreement and Release Form