Red Jacket Junior Hoops Registration
Grade Level Team (Please circle)
Travel Boys 3/4 -- Travel Boys 5 -- Travel Boys 6 -- Travel Boys 7 -- Travel Boys 8-- Jammer’s Bunch (Ages 4-5
YMCA B-3/4 -- YMCA B-5/6 -- YMCA G-3/4 -- YMCA G-5/6 -- Co-ed 1/2 -- Travel Girls 7/8 -- Travel Girls 5/6
Player Name: ______
Address: ______State______Zip______
Age / Date of Birth: ______Grade______
Mother Name: ______Phone: ______Mobile:______
Father Name: ______Phone:______Mobile:______
Email Address: ______
Emergency Contact: ______Phone:______Mobile:______
Insurance Provider: ______ID # ______
Program Fees 2017-2018 Season:
YMCA Per player - $85 CK# or Cash
Travel – Individual $120 CK# or Cash
Jammers – Individual $35 CK# or Cash
Shirt size (circle one) YS YM YL YXL AS AM AL AXL
*Please make checks and money orders payable to: Red Jacket Junior Hoops, Inc.
Please note: Fees are used to cover maintenance fees, insurances, and program costs for Red Jacket Junior Hoops, Inc.
Returned Checks will be subject to a $25.00 dollar fee
On-Site Registration Dates for 2016-2017 Season:
September 23th, 2017 - Red Jacket High School (Front Lobby) - - 8:00 AM – 10:00 AM
(Please note: All Travel Team registrations for Boys and Girls Grade 5 and Grade 6 must be postmarked or received by 9/25-17). YMCA and Jammers Registrants welcomed. ($35.00 late fee will be applied after 9/18 for travel players noted above)
October 14th, 2017 - Red Jacket High School (Front Lobby) - - 8:00 AM – 10:00 AM
(Please note: All Travel Team Boys and Girls Grade 7 and Grade 8, All YMCA players, and Jammer’s registrations must be postmarked by 10/17/2017). . ($35.00 late fee will be applied after 10/16 for travel players noted above)
Or Mail to:
Red Jacket Junior Hoops, Inc., PO Box 118, Shortsville, NY 14548
Note to parents and players, you are responsible to read and know our parent/spectator and player code of conducts located on our website. Thank You
Player Signature Parent/Guardian Signature
For up to date information concerning start up dates, Travel Team try-out dates, practice and game schedules; please log onto www.leaguelineup.com/welcome.asp?url=red_jacket_junior_hoops