Cost: Helena Resident $195 / Non-Resident $215
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.
- Note: Kids on school team will not be eligible

Player Name

First Name

Last Name

Player Gender

Male

Female

Player Grade

7th Grade

8th 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