Youth Basketball Team Registration - Spring 2022 - Valley Jewish Community Center

Youth Basketball Team Registration – Spring 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

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 VJCC 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

Payment Information – 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.

Phone

This field is for validation purposes and should be left unchanged.

Valley Jewish Community Center

Youth Basketball Team Registration – Spring 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 – Spring 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