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2016 - 2017 Jr. Rams Basketball Registration Form
Grade/Gender Type of Play Cost Per
Player
Registration Form
Due Date
2nd & 3rd Boys & Girls League $75.00 Friday, Sept 23
4th, 5th & 6th Boys & Girls League & Tournament * $100.00 Friday, Sept 23
7th & 8th Boys & Girls Basketball Play $75.00 Friday, Sept 23
League is played at Black Hawk College starting October 29, 2016 running through December 18, 2016. (2nd Grade is played in Bettendorf ONLY from January – February)
*Tournament play start times will vary depending on grade level (generally January - March)


Please use the form below to register and pay online.
Player's Last Name: 
First Name: 
Birthdate: 
Parent's Name:
Address:
City: 
Zip Code:
Home Phone:
Emergency Phone:
E-mail Address:
(optional)
Grade for 16/17 Year:
Jersey Size:
Scholarships are available for those in need. Please contact Jr Rams at jrramsbball17@gmail.com
I am interested in: 
Registration Fee: (Choose One)
* Selecting interest does not guarantee that a spot is available to fill. All volunteers will be notified if selected.
T-Shirt Shirt Size:
*By submitting Registration, I hereby acknowledge that I have read the Jr. Rams Release Agreement and agree to the release.  By Submitting my registration I hereby agree this submission constitutes as my signature of record and agreement of release.
MaleFemale
YSYMYLASAMALAXL
$75.00/player – 2nd & 3rd grade boys/girls (Includes League and T-shirt)
$100.00/player - 4th, 5th & 6th grade boys/girls (Includes League, Tournament Play and T-shirt)
$75.00/player - 7th & 8th grade boys & girls (Includes Basketball Play and T-shirt)
Coaching *Jr. Rams Board MemberWorking on a Committee
YSYMYLASAMALAXL