High Power Basketball

Fun, non-competitive league is open to all kids ages 5-10 (Co-Ed Teams)
Season runs from Saturday, January 9 - February 27, 2021
Player evaluations will be held on Saturday, December 12, 2020 beginning at 9:00 am
Early Bird Registration ($50) ends on Sunday, November 21
Final Registration ($60) ends on Sunday, December 5
If you prefer to print and mail your childs' registration, you can download the form HERE.
Checks should be made payable to “Liberty Baptist Church”
When mailing in forms or checks, please put “Attn: Corey Wilson” on the envelope
Email Pastor Corey Wilson with any questions

REGISTRATION
(Note: If you are registering more than three children, simply complete the
form for the first three children then refresh this page to start a new form.)

* Indicates required field

Child 1 Name *

First

Last

Child 1 Gender *

Child 1 Shirt Size *

Child 1 Birth Date *

Child 1 Age *

Child 1 Allergies or Medical Conditions *

Child 2 Name *

First

Last

Child 2 Gender *

Child 2 Shirt Size *

Child 2 Birth Date *

Child 2 Age *

Child 2 Allergies or Medical Conditions *

Child 3 Name *

First

Last

Child 3 Gender *

Child 3 Shirt Size *

Child 3 Birthdate *

Child 3 Age *

Child 3 Allergies or medical Conditions *

Parent or Guardian Name(s) *

Phone Number *

Email *

Emergency Contact *

First

Last

Phone Number *

Person Responsible for Picking Up Child *

First

Last

Submit