D-League Registration

D-League Registration nimda 2022-12-21T11:38:18-08:00

Winter 2023 Season

Gender*
Participants Full Name*
First Last
Hidden
Participants Full Name*
Date of Birth*
MM slash DD slash YYYY
First Time or Returning?*
- First Time Participating
- Returning
Hidden
Registration*
Total
$0.00
Last Team Name*
Parent Name*
Cell Phone*
Email*
If member of Ararat, what section?
Membership ID #
I'd like to volunteer as a
- Coach
- Assistant Coach
Name*
1st Preferred Practice Days*
- Thursdays
- Fridays
(*practice day option is a preference only and can not be guaranteed)
Billing Info
Billing Address*
Street Address City State ZIP Code

Credit Card

Cardholder Name

Card Details

Consent*
I agree to the waiver, indemnification, and release of liability agreement. (View PDF)
($50 Processing fee will be deducted for all refunds or credits)
Total
$0.00