Name (First, Last) (required) Gender Male (M)Female (F)Unspecified (X) Basketball Skill Level BeginnerIntermediateAdvancedNot Sure Phone Number (required) Your Email (required) Please list any medical condition/s, including any requiring medications (ex. Diabetes, Asthma, Seizures) Are you allergic to any type of food or medication? YesNoNot Sure If yes, please explain TERMS AND CONDITIONS • CANCELLATIONS MUST BE MADE IN WRITING TO QSLA – Attention: Sports League Director • FEES ARE FULLY REFUNDABLE UP UNTIL 30 DAYS PRIOR TO THE SEASON START DATE. • WITHIN 30 DAYS OF THE SEASON START DATE OR THEREAFTER, NO REFUND WILL BE ISSUED.
Name (First, Last) (required)
Gender Male (M)Female (F)Unspecified (X)
Basketball Skill Level BeginnerIntermediateAdvancedNot Sure
Phone Number (required)
Your Email (required)
Please list any medical condition/s, including any requiring medications (ex. Diabetes, Asthma, Seizures)
Are you allergic to any type of food or medication? YesNoNot Sure
If yes, please explain
TERMS AND CONDITIONS
• CANCELLATIONS MUST BE MADE IN WRITING TO QSLA – Attention: Sports League Director • FEES ARE FULLY REFUNDABLE UP UNTIL 30 DAYS PRIOR TO THE SEASON START DATE. • WITHIN 30 DAYS OF THE SEASON START DATE OR THEREAFTER, NO REFUND WILL BE ISSUED.
