House League Registration & Payment Form
Three Youth – 2022/2023 Season

This is the electronic registration form to enrol three youth from the same family in the 2022/2023 Brantford CYO Boys Basketball program. The cost for three youth for the season is $500.

Please complete the form below by filling out all of the required fields. At the end of this form you must check the CONSENT box to indicate that you have read our terms and conditions and that you agree to them. You must complete all of the mandatory fields as well as the CONSENT section before you can move forward with this process. After completing the registration form, click on the PAY NOW button to enter your payment information. Our payments are processed securely through PayPal.

As an incentive for volunteers, if you coach or convene, you will receive $75.00 rebate at the end of the season. Please note that you must attend at least 85% of the scheduled games in order to qualify for this refund.

Parent/Guardian Contact Information

Name Of Parent/Guardian(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code

Information About The 1st Youth You Are Registering

Player Name 1st Youth(Required)

First Last

Date Of Birth 1st Youth(Required)

MM slash DD slash YYYY

1st Youth Age As Of December 31st(Required)

Are there any medical conditions we should be aware of for youth one?(Required)

Please describe the medical conditions that pertain to youth one

Please indicate the division that matches child one's age.(Required)

Rookie (5-7 years of age)

Novice (8-9 years of age)

Atom (10-11 years of age)

Bantam (12-13 years of age)

Midget (14-15 years of age)

Juvenile (16-18 years of age)

Based on age as of December 31st. of current year.

Player Apparel - Youth One

Shirt Sizing - One Youth(Required)

Youth Small

Youth Medium

Youth Large

Youth XL

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2XL

Other

Information About The 2nd Youth You Are Registering

Player Name 2nd Youth(Required)

First Last

Date Of Birth 2nd Youth(Required)

MM slash DD slash YYYY

2nd Youth Age As Of December 31st(Required)

Are there any medical conditions we should be aware of for youth two?(Required)

Please describe the medical conditions that pertain to youth two

Please indicate the division that matches child two's age.(Required)

Rookie (5-7 years of age)

Novice (8-9 years of age)

Atom (10-11 years of age)

Bantam (12-13 years of age)

Midget (14-15 years of age)

Juvenile (16-18 years of age)

Based on age as of December 31st. of current year.

Player Apparel - Youth Two

Shirt Sizing - Youth Two(Required)

Youth Small

Youth Medium

Youth Large

Youth XL

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2XL

Other

Information About The 3rd Youth You Are Registering

Player Name 3rd Youth(Required)

First Last

Date Of Birth 3rd Youth(Required)

MM slash DD slash YYYY

3rd Youth Age As Of December 31st(Required)

Are there any medical conditions we should be aware of for youth three?(Required)

Please describe the medical conditions that pertain to youth three

Please indicate the division that matches youth three's age.(Required)

Rookie (5-7 years of age)

Novice (8-9 years of age)

Atom (10-11 years of age)

Bantam (12-13 years of age)

Midget (14-15 years of age)

Juvenile (16-18 years of age)

Based on age as of December 31st. of current year.

Player Apparel - Youth Three

Shirt Sizing - Youth Three(Required)

Youth Small

Youth Medium

Youth Large

Youth XL

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2XL

Other

Volunteering Opportunities

Volunteers are the backbone of Brantford Boys CYO Basketball. It takes a small army of caring and dedicated volunteers to fill all of the roles required to deliver our programs. Can you help? We need to fill Coach, Convenor and other volunteer positions. Check any of the boxes below to let us know you might be interested and we'll contact you to talk more about how you could help. "It takes a village" and together we can make a difference for the area youth that benefit from our basketball programs and mentorship.

If you coach or convene, you will receive $75.00 rebate at the end of the season. Please note that you must attend at least 85% of the scheduled games in order to qualify for this refund.

Check the positions that interest you:

Coach

Convenor

Other Role

Consent & Agreement To Our Terms

I am the parent or legal guardian of the above-named player. I do hereby consent and agree that the said player may participate in the Brantford CYO Boys Basketball program. It is understood and agreed that the Brantford CYO Boys Basketball, C.Y.O. Basketball (Brantford) Club, it's representatives and sponsors, assume no responsibility for any injury, illness, disease, loss or damage incurred as a result of the player's participation in the program, or in travelling to or from program events; and I hereby release Brantford CYO Boys Basketball, C.Y.O. Basketball (Brantford) Club, it's representatives and sponsors, from any and all claims for such injury, illness, loss or damage.

Terms & Conditions Consent(Required)

I have read the Terms & Conditions above and by checking this box I agree and consent.

Consent is required to continue registration

Photo Consent(Required)

I consent to the photo release terms above

I do not consent

Payment & Registration

The registration cost for two participants for the 2021/2022 season is $500. After clicking the PAY NOW button below, you will be able to make your payment online using PayPal.

IMPORTANT! IF YOU DON'T HAVE A PAYPAL ACCOUNT, JUST CLICK ON THE BUTTON AT THE BOTTOM OF THE PAYPAL WINDOW THAT SAYS "CREATE AN ACCOUNT." YOU'LL BE ABLE TO PAY WITH A DEBIT OR CREDIT CARD.

2022/2023 Registration Fee - Three Youth(Required)

Price:

Total

House League Registration & Payment FormThree Youth – 2022/2023 Season

Parent/Guardian Contact Information

Information About The 1st Youth You Are Registering

Player Apparel - Youth One

Information About The 2nd Youth You Are Registering

Player Apparel - Youth Two

Information About The 3rd Youth You Are Registering

Player Apparel - Youth Three

Volunteering Opportunities

Consent & Agreement To Our Terms

Payment & Registration

House League Registration & Payment Form
Three Youth – 2022/2023 Season