Reach Basketball LLC

Player First Name (required)

Player Last Name (required)

Select Division (required)

*****5th & 6th Grade Division is FULL, no more registrations being accepted for this division****

3rd/4th Grade 

Select Gender (required)
Male Female 

School Enrolled (required)

Game Jersey Size (required)
---Youth MediumYouth LargeAdult SmallAdult MediumAdult Large

Please list any medical conditions the player has:

Parent First Name (required)

Parent Last Name (required)

Home Address (required)

City (required)

State (required)

Zip Code (required)

Home Phone(required)

Mobile Phone (required)

Your Email (required)

Preferred Practice Location (required)
---Bogle Junior HighSantan Junior HighRyan ElementaryNavarrete ElementaryPayne Junior High

Additional Information/Special Requests
If you have any special requests, please include them here. Although we cannot guarantee that we can meet any special request, we will do our best to try.

Assumption of All Risks and Release of All Claims:

In accordance with the Reach Basketball, LLC policy, I give my consent for the above named boy/girl to participate in all Reach Basketball, LLC activities. I also consent to Reach Basketball, LLC securing medical attention and/or transportation as deemed necessary in an emergency. I will not hold the Reach Basketball, LLC or any of the program volunteers or staff responsible for injury or liability and will secure adequate personal insurance for the duration of the program. Reach Basketball, LLC will not be responsible for medical costs. I recognize there are risks associated with strenuous physical exertion when engaging in basketball activities. I certify to the best of my knowledge my child’s physical condition is satisfactory to participate in physically demanding activities. I, the undersigned, have read this release and understand all its terms.

Check this box to accept terms:

Confirm all information above is correct then click the "Submit Registration" button below to submit your registration. Once registration is submitted, enter the player's name and click the "Pay Now" button to submit the registration fee payment. Please note that registration is not complete until fee payment has been received.