The Kensington and Area Minor Basketball Association (KAMBA) is a non-profit organization,
offering minor basketball programs to Kensington area youth.
Programs are offered for the following age groups:
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Little Tykes (Preschool)—Wednesdays
Small Ball (Ages 6-7 /grades 1-2)--Wednesdays
Junior Mini (Ages 8-9 / grades 3-4)—Mon.& Fri.
Mini (Ages 10-11 / grades 5-6)--Mon.& Fri.
Bantam—numbers permitting (grades 7-8)--TBA
All sections will be co-ed unless numbers warrant separate male and female divisions. Programs run from
October14th through to March.
Registration:
Saturday September 26th from 10-12
Location:
Queen Elizabeth Elementary School
Cost:
$80* per player/$40 Little Tykes
*KAMBA wants to thank its many community sponsors. Our community support has allowed us to keep our
registration fees at the same level they were when we formed in 2008. Thanks to our sponsors, our fees remain the
lowest on PEI.
For more information check out www.noreasters.ca & please feel free to contact us at [email protected]
------------------------------------------------------------------------------------------------------------------------------2015-16 Registration
Individual Membership:  Little Tykes
 Small Ball  Jr. Mini  Mini
 Bantam
 Coach
 Volunteer
Parent /Guardian Name(s): ___________________________________________________________________
Athlete’s Name: _________________________________________
Address: _________________________________________
City: __________________________ Postal Code: ________________
Present Grade: _____
Birth date: _____ / _____ / _____
 Male  Female
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mm
yy
Email Address: ________________________________________
Tel (h): ______________________ Tel (c): ______________________ Tel (w): ______________________
Allergies / Medical Problems:  Yes  No If Yes, Please Explain: ________________________________________________________
____________________________________________________________________________________________________________________
Emergency contact: _____________________________________________
Tel: ______________________
I___________________________________, consent to the collection, use and disclosure of the personal information contained on
this registration form, for Canada Basketball, Basketball Prince Edward Island and Kensington Minor Basketball Association only.
We hereby give our consent and approval to participation of the applicant in the Kensington Minor Basketball Association, Minor
Basketball Program and certify that he/she is physically fit to take part in all activities. Further, we do hereby waive, release
and discharge said organization and its volunteers from all claims for damages occurring from accident, injury or loss of
personal property during his/her participation in KMBA activities or arising from travel to and from scheduled practices/games.
Parent or Guardian’s Signature: __________________________________________ Date: _________________________