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. Δ
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.
Δ
