Travel registration

Annually, we need to update our database. Please take a few minutes to fill in the form, even if you are currently participating. Winter try outs Mid October, more info here

We want to ensure each girl is correctly placed on a team, where she will be challenged and improve her skills. If you want to be placed on a team fill in the form and we will find you an opportunity.

Please identify and describe yourself:

First Name
Last Name
Middle Initial
Date of Birth	MM/DD/YY
Grade
Sex	Female Male
Height	inches

Please provide the following contact information:

Street Address
Address (cont.)
City
Zip/Postal Code
Contact Phone
Home Phone
Mobile Phone
E-mail
2nd E-mail

Select any of the following options that apply:

I plan to participate in the Fall League Sept-Oct
I plan to participate in the Winter League Nov-Feb
I plan to participate in Spring Basketball Feb-May
I plan to participate in Summer Basketball June-Aug

Select best Short and Jersey size:

Enter your Dad and Moms name in the space provided below.

Enter your Neighborhood in the space provided below.

This information is collected for use of Westfield Basketball program, and maintained by coach Simpson. It will not be used for any other purpose
Copyright © 2006 Westfield Basketball. All rights reserved.

Try out info here