3 on 3 Team Registration is Now Open Registration Form: If paying by check, please make it payable to: Basketball Cape Breton Send E-Transfers to accounts@basketballcapebreton.com Company Player's First Name * Parent or Guardian's Full Name * Player's Last Name * Primary Email Address * Mobile Phone * Secondary Email Address Player's Birth Day * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Player's Birth Month * January February March April May June July August September October November December Player's Birth Year * 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Address 1 * City * Province * Nova Scotia Alternate Phone Are There any Medical Conditions that We Should Know About? * Payment Method * E-Transfer ($50.00) Cash ($50.00) Cheque ($50.00) E-Transfer Confirmation Number Program * 3 on 3 Basketball Location * County Arena Coxheath Acknowledgement * I acknowledge that payment or payment arrangements must be made prior to final enrollment in the program Comments
