Sign-Up Form

If your child is in grades K-6 and wishes to participate in the Fertile-Beltrami Youth Basketball Association, this form must be filled out and returned to either Tim or Angie Petry on the first day of practice.

 

Parent Names:___________________________________

Address:___________________________________

Phone #:___________________________________

E-mail:___________________________________

Name and Number of Emergency Contact:_______________________________ _______________

 

Student Name Grade Fee
   
$15.00
   
Additional Child $10.00
   
Additional Child $10.00
   
Additional Child $10.00