Raiders Registration

 
Registration Instructions
 
Please complete all fields below and click submit at the bottom of the page....
Registration Form  
  (All information is required)
Contact Information
Contact Name
Contact Email
Contact Cell Phone
   
Player Information
First Name
Middle Initial
Last Name
Address 
Address 2   
City 
State 
Zip 
Home Phone #
Date of Birth

Height
Weight
   
Player Details
Which school does your child attend?
What is the name of the last basketball team that your daughter played for?
Does your daughter have AAU experience?
What positions did your daughter play?
What other sports, if any, does your daughter play?
Does your daughter have any physical restrictions which could be adversely affected from playing basketball?
 
  
 © 2000 - 2009   Lutz Roofing Company, Inc. SiteBuilder by AccuNet