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 *

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 *

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