THURSDAY NIGHT MEN’S RECREATIONAL BASKETBALL LEAGUE (CRESTWOOD)

REGISTRATION FORM

         New Player   (fill in all information)                                        Returning Player  (fill in any new information)

Name:   _____________________________                                                       Birth date:               ___/_____/________

Age:       _______              Height:  _________          Weight:        __________               Position:               ___________

Phone No.          (W)_________________               (H)__________________               (M)_____________________

Email:    ___________________________________________

Home Address:  _____________________________________________________________

Previous Playing Experience:       (1)____________________________________________               Years:    ______

                                                            (2)____________________________________________               Years:    ______

                                                            (3)____________________________________________               Years:    ______

Payment Amount:            $___________   (ca/ck)   (Registration:  ___________;       Jersey Deposit:   ____________)

Date:     ___/_____/________           My contact information may      may not      be provided to my team captain.