Do to the recent surge in the Delta variant, we sadly have to postpone SCBA to the Winter Session. When the situation improves, you will be alerted of our resumption

The Fall session has been postponed.

Cancelled

REGISTRATION

Please note that all fields followed by an asterisk must be filled in.

I am Registering for the following session:

	Fall league- Has a jersey:$150.00
	Fall league: NEEDS a jersey:$175.00
	Winter league: Has a jersey:$150.00
	Winter league: NEEDS a jersey:$175.00
	Spring league: Has a jersey:$150.00
	Spring league: NEEDS a jersey:$175.00
	SUMMER CAMP - #1 ADVANCED (AM ONLY)
	SUMMER CAMP - #1 ADVANCED (WITH SHOOTING CLINIC)
	SHOOTING CLINIC #1 (cap: 24 players)
	SUMMER CAMP - #2 BEGINNING/INTERMEDIATE (AM ONLY)
	SUMMER CAMP - #2 BEGINNING/INTERMEDIATE (WITH SHOOTING CLINIC)
	SHOOTING CLINIC #2 (cap: 24 players)
	SUMMER CAMP - #3 BEGINNING/INTERMEDIATE (AM ONLY)
	SUMMER CAMP - #3 BEGINNING/INTERMEDIATE (WITH SHOOTING CLINIC)
	SHOOTING CLINIC #3 (cap: 24 players)

Player's First Name*

Player's Last Name*

E-Mail Address*

Street Address*

City*

State/Prov*

Zip/Postal Code*

Mobile Phone (e.g. 408-777-1234 )*

Land line(e.g. 408-777-1234 )*

Gender*

	Boy
	Girl

Current Grade Level*

School*

Height - feet*

Height - inches*

Parent/Guardian*

Health Insurer*

Health Policy Number*

Emergency Contact Name:*

Emergency Contact Phone# (e.g. 408-777-1234 )*

Agree to Use Internet Acces

	YES
	NO

Approval to Post Child's Name (Roster and Verification)

	APPROVE
	DISAPPROVE

I am ordering a new jersey (jersey required for League play only, NOT Summer Camps.)

	YES
	NO

Current Jersey Number

All players who register will agree to “Re-Evaluation,” our process of shifting players between teams to ensure that the talent in the league is fairly balanced. This team balancing will occur after the first two league games, which we hope to accomplish with the minimal amount of stress for all. Please click on the " Yes" button below to agree to team balancing or “Re-Evaluation.” (REQUIRED)*

YES

I would like to be considered to coach. If I volunteer to coach I agree to allow SCBA to conduct a confidential background check. The SCBA is dependent on competent and positive coaches volunteering their time and energy. *

	YES
	NO

I understand that the SCBA is dependent on volunteer coaches, and so I agree that the SCBA reserves the right to use high school age coaches if a qualified adult coach is not available.*

UNDERSTOOD & AGREED UPON

Last Name of Person Making Payment for this Application

Additonal emails of people, besides you to send information & updates (like scores and schedule etc).

Please enter the word that you see below.