to register
Mail back this Registration Form
with payment (Cheque or Money Order) to:
Scarborough Basketball Association
885 Don Mills Rd., Suite 224, Toronto, M3C 1V9
Scarborough Basketball Association
sbabasketball.ca
Family Information
Please select the program you are registering for:
Boys House league
Family Name _________________________________________________________________________
o Bantam (12)
o Novice (9)
o Major Bantam (13)
o Atom
(10)
Parent/Guardian Name (Last name if different from players) _________________________________________
o Midget (14)
o Major Atom (11)
Apt# ______________ Street Address ____________________________________________________
Girls House league
City ____________________________________________ Postal Code _________________________o Novice / Atom / Major Atom (9-11)
o Bantam / Major Bantam / Midget (12-15)
Home Phone (
) ________________________ Email ______________________________________
Co-ed Small Ball
Co-ed Little League
o Small
Ball
(7/8)
o Little League (4-6)
Emergency Person ____________________________________________________________________
Emergency Phone (
Senior Boys
) ________________________________________________________________
o Senior Boys (15-17)
Players Information (This may be photocopied if space for additional players is needed)
Player 1: First Name ________________________________________
Player 2: First Name ________________________________________
Birthdate: YY / MM / DD Gender: M / F Shirt Size: ______________
Birthdate: YY / MM / DD Gender: M / F Shirt Size: ______________
Basketball Experience:
Basketball Experience:
o Novice o 1 to 2 yrs. o 3 to 5 yrs. o REP level
o Novice o 1 to 2 yrs. o 3 to 5 yrs. o REP level
Medical Conditions (Please be specific)
Medical Conditions (Please be specific)
_____________________________________________________________
_____________________________________________________________
We Need Your Help
The Scarborough Basketball Association is run by dedicated
volunteers. The success of our programs depends on parents
stepping forward to assist. If you can help in any way please
indicate your preference:
PROGRAM Rates
* Any player who participated in the Fall ‘10 Program can use
their existing yellow jersey and save $15.00.
# of Players
_________ House League @ $130 each
(includes jersey)
$ _________
_________ House League @ $115 each *
$ _________
_________ Small Ball or Little League @ $110 each
(includes jersey)
$ _________
Address _______________________________________________
_________ Small Ball or Little League @ $95 each * $ _________
Phone Number (
_________ Senior Boy’s League @ $50 each
$ _________
I would like to volunteer as a:
o Team Coach
o House League Convenor
o Assistant Coach
o House League Sponsor $200
o Referee
o REP Team Sponsor $500 – $1000
Volunteer Name ________________________________________
) ____________________________________
We agree to abide by the rules and regulations of the
Scarborough Basketball Association. The Association will not be held
responsible for any injuries sustained by a player while playing for the
Scarborough Basketball Association.
This form must be signed by a parent/guardian if the player is under
eighteen years of age.
Signature of Parent/Guardian (Needed for anyone under the age of 18)
__________________________________________________________________
TOTAL $ _________
How did you hear about the SBA
o Website o Mailing/flyer o Ad
Cancellation Fee: $25 NSF Cheque fee: $25.00
NO REFUND after the first week of the program.
Note: Registrations on the first day of the program will be accepted
if there is space and on a first come basis. Cash only.