REGISTRATION ROC360 BASKETBALL 2023/2024Sign-up Deadline is Friday, November 10, 2023 Open to K5-6th Grade Students - Registration Cost: $60Registration Form "*" indicates required fields Step 1 of 3 33% Child's Name* First Last Parent Name* First Last Interested in Coaching?* Yes No Parent Phone*Email**Most communication is through email Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Age* Have you ever played in a basketball League?* Yes No Years Played Preferred practice day of the week:* Monday Tuesday Thursday Ride Share information:Please note any ride share information your team/coach should be aware of. T-Shirt Size:Please denote Youth/Adult and your child's size (S,M,L,XL, etc). Emergency Contact:* First Last Emergency Contact PhoneSiblings also playing this league?Please list children's name and gradeBasketball RegistrationOne Child Price: Total PhoneThis field is for validation purposes and should be left unchanged.