Payment Method: Venmo link/QR code or Check payable to Helena Basketball Association (Use 7714 Wyndham Circle, Helena, AL 35080 for mail to address)
- Note: If paying by check registration will not be confirmed until registration form is printed, filled out completely and both registration page and check are received.
Registration will end on Oct. 24, 2025
Max participants 75 and will be taken on first come first serve basis

Player Name

First Name

Last Name

Player Gender

Male

Female

Player Grade

Kindergarten

1st Grade

2nd Grade

Player School

Player Jersey Size

Player Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Interested in being a coach or helper?

Yes

No