Youth Basketball Winter League

Register using the form below the flyer.

"*" indicates required fields

Parents, are you interested in being a coach?
Parent Name*
Mailing Address*
MM slash DD slash YYYY
Age Category*
Please score your child in the following areas based on a 1-5 system with 5 being best to 1 needs improvement:
Has your child played in a league or program before?*
Shirt Size*
Shorts Size*
Parents Code of Conduct**
VJCC Concussion Management Plan
VJCC Abuse Prevention Plan*
League fee is $199 per player.
Price: $0.00
Includes selections above and a 3% processing fee.
Credit Card
American Express
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date

Please click the submit button only once to avoid duplicate charges / submissions. Sometimes it takes a minute or two to process.
This field is for validation purposes and should be left unchanged.