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Monday Night Women's Basketball League Sign-Up
This registration form is for individual registrations. Submit this form if you have an individual player looking to be placed on a team, or are signing up for any of our individual player programs like Little Dribblers, Fieldhouse Hoops Academy or any other camps or clinics.
If you are a coach or want to register a team you should use the coaches' registration area (click
here
to return and use the team registration option).
First Name:
Last Name:
Parent's Name:
Age:
Grade:
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Adult
Parent's Information
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticutt
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP:
Phone Number:
Email:
Players
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Click on The Fieldhouse to view a larger version