D-League Registration

Sumner 2024 Season

Registration is now FULL – Please use the form to join Ararat D-League Basketball Waiting List

Hidden
ready?
- yes
Participants Full Name*
Date of Birth*
MM slash DD slash YYYY
Gender*
Hidden
Participants Full Name*
First Last
First Time or Returning?*
- First Time Participating
- Returning
Last Team Name*
Hidden
Registration*
Total
$0.00
Parent Name*
Cell Phone*
Email*
If member of Ararat, what section?
Membership ID #*
I'd like to volunteer as a
- Coach
- Assistant Coach
Name*
1st Preferred Practice Days*
- Thursdays
- Fridays
(*practice day option is a preference only and can not be guaranteed)
Consent*
I agree to the waiver, indemnification, and release of liability agreement. (View PDF)
Billing Info
Billing Address*
Street Address City State ZIP Code
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
($60 Processing fee will be deducted for all refunds or credits)
Total
$0.00