2022 W.I.N. Basketball Fall Academy Program Registration

Player Name*
Player Phone Number*
Which team will you be trying out for?*
- U13 Girls
- U10 Boys
Fall Academy Mailing List

Please enter the email address you would like all of the Fall Academy info to be sent.
Email Address*
Birth Date of Player*
MM slash DD slash YYYY
Jersey Size*
Parent Name(s)*
Parent Phone Number*
Emergency Contact Name
Emergency Contact Phone Number
Additional Information
How would you like to pay your fee?*
- Credit Card Online Payment
- Cheque

Fall Academy Mailing List