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:___________________________________


Phone #:___________________________________


Name and Number of Emergency Contact:_______________________________ _______________


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