Youth League Fall 1 Registration

US$184.99

Player Grade Level

Player Uniform Size

Player Gender

Experience Level

Injury Agreement

Hit “AGREE” to agree to take full personal responsibility in allowing your child to participate in an activity that may result in injury or even death. Also that you agree to release the Achi3v3 Basketball staff from any responsibility in case of injury.

How did you Find us?

Parent Name

Player’s Name

Player’s School Name

Home Address

Phone

Requested Jersey #

(Type in 2 different numbers: example #23 / #05)

Who reffered you ?

(if no one, type “NONE”)

Quantity