Basketball Registration

Student Athlete Name

First

Last

Grade

Please select the student grade level.

Shirt Size

Team shirts must be returned at the end of the season or you will be charged for replacement. Boys/Girls grade 5-6 do not need a uniform (select the boys/girls 5-6 option instead).

Short Size

Team shirts must be returned at the end of the season or you will be charged for replacement. Boys/Girls grade 5-6 do not need a uniform (select the boys/girls 5-6 option instead).

New or Returning?

New – $105.00
Returning – $80.00
New – Charge my account $105 – $0.00
Returning – Charge my account $80 – $0.00

Parent Name

First

Last

Parent Phone

Parent Email

I will provide each of the following forms:

Risk Waiver Form (Every year)
Pre-Participation Form (Every year)
Physical Form (Every 2 years)

Please email your completed forms to blalli@gloriadeoacademy.org or turn them in to the Athletic Department office at the Golden campus.

Forms can be downloaded on the GDA Athletics page: https://gloriadeoacademy.org/athletics/

File Upload

Click or drag a file to this area to upload.

Parent Signature

Clear Signature

I acknowledge I have read the GDA Activities/Athletics Handbook and agree to comply with the policies contained in this handbook and any revisions made to it.

Student Athlete Signature

Clear Signature

I acknowledge I have read the GDA Activities/Athletics Handbook and agree to comply with the policies contained in this handbook and any revisions made to it.

Date

Square

Card

Name on Card

Total

$0.00