PC Sports 3rd & 4th Grade BOYS Basketball Registration (2026-2027)

Below, please fill out the Participant's Information

Name

Address

This address will receive a confirmation email

Birthdate

Grade

3rd 4th

Gender

Male

Parent | Guardian Name

Parent | Guardian Phone

Emergency Contact Name

Emergency Contact Phone

Allergies | Special Need

Church home

Park Chapel Area church I don't have a church home

Shirt Size

All 3rd and 4th grade boys will practice one evening a week, with practices will beginning the week of December 7th. Games will be scheduled on Saturdays, beginning January 9th.

Registration for basketball players includes jersey tops!

Please check your top 2 preferred practice nights. If you do not have a preference for practice night, you may leave this blank! Monday Tuesday Wednesday Thursday

I understand that my child is required to attend ONE of the MANDATORY evaluations in order to participate in the Park Chapel Sports Program. Listed are the Evaluation Nights offered, please select the best one that fits your availability (you may change your evaluation night at anytime, no need to let us know!) During your evaluation, be prepared to fill out additional paperwork, have your child fitted for uniforms, and complete a skills evaluation in the gym.

Wednesday, November 4th, 5:30pm-6:30pm Thursday, November 5th, 5:30pm-6:30pm

I understand that team requests will not be honored. I also understand that coach requests will not be honored. I understand t-shirt and uniform orders are final and that no refunds or re-orders can be made.

Yes, I understand and agree to these terms.

TEXT MESSAGE CONSENT

By providing a mobile phone number, I am consenting to receive SMS messages from Breeze regarding information and announcements from Park Chapel Christian Church. I understand that message and data rates may apply and message frequency varies. I can opt out anytime by responding or texting STOP to 87447.

PHOTO/VIDEO RELEASE

Please be aware that this event may be photographed. Your submission of this form and participation in the event grants Park Chapel permission to use your picture, silhouette or reproductions of your physical likeness and voice in any manner associated with promotion and/or celebration of church events.

Payment $100

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

PC Sports 3rd & 4th Grade BOYS Basketball Registration (2026-2027)

Description

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