Youth Basketball Team Registration – Fall 2022 - Valley Jewish Community Center

Youth Basketball Team Registration – Fall 2022

"*" indicates required fields

Coach Name*

First Last

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone*

Email*

Age Division*

10U

12U

14U

Number of players on your Team (Minimum 7 and Maximum 10)*

Please enter a number from 7 to 10.

Team Name

Team Registration Fee Deposit Fall 2022

Comments

Coaches Code of Conduct**

I have read and agree to abide by the VJCC Coaches Code of Conduct and fully understand its contents. By checking the box to the left, I am agreeing to the terms and conditions stated within and acknowledge that this will serve as my electronic signature.

VJCC Concussion Management Plan*

I have read and agree to abide by the Concussion Management Plan and fully understand its contents. By checking the box to the left, I am agreeing to the terms and conditions stated within and acknowledge that this will serve as my electronic signature.

VJCC Abuse Prevention Plan**

I have read and agree to abide by the VJCC Abuse Prevention Plan and fully understand its contents. By checking the box to the left, I am agreeing to the terms and conditions stated within and acknowledge that this will serve as my electronic signature.

Waiver*

I have carefully read the Valley Jewish Community Center Waiver and Release of Liability and fully understand its contents. By checking the box to the left, I am agreeing to the terms and conditions stated within and acknowledge that this will serve as my electronic signature.

Registration is $1650 per team. A $50 Credit card deposit is required to secure your spot. Please mail a check for the $1600 balance to Valley JCC at 18017 Chatsworth St., #217, Granada Hills, CA 91344

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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.

Valley Jewish Community Center

Youth Basketball Team Registration – Fall 2022

Mailing Address: Valley Jewish Community Center
18017 Chatsworth St. # 217, Granada Hills, CA 91344
818-360-2211 • info@valleyjcc.org

NEWSLETTER SIGN UP

Youth Basketball Team Registration – Fall 2022

Mailing Address: Valley Jewish Community Center18017 Chatsworth St. # 217, Granada Hills, CA 91344818-360-2211 • info@valleyjcc.org

NEWSLETTER SIGN UP

Mailing Address: Valley Jewish Community Center
18017 Chatsworth St. # 217, Granada Hills, CA 91344
818-360-2211 • info@valleyjcc.org