Player Registration

Doug Lindland
2 Taft Woods Row
S. Hamilton, MA 01982

Tel: 978.468.2040
Cell: 978.869.9980
Fax: 978.468.6030
 E-mail Here

WELCOME TO OUR FALL 2008 EASTERN RAIDERS AAU PLAYER REGISTRATION ONLINE FORM - PLEASE SIGN UP BY SEPTEMBER 12

IF YOU HAVE ANY QUESTIONS, PLEASE E-MAIL doug@easternhoopleague.com

Cost for the Fall AAU Season is $495 with uniform or $425 if you already own a uniform. Click here to pay online

Please fill out one form per player. Field with a * are required. When you fill out the form and submit it, a new window will pop up with a confirmation form that you can print and link to PayPal.  You will also receive an e-mail confirmation soon after sign up. Please note that this is a 2 step process - registering fist and then paying. You can pay online or mail a check. Instructions for payment will be on the confirmation form or you can click here.

Eastern Raiders Fall 2008 AAU Individual Player Basketball Sign Up Form

Parent / Guardian Contact Information

*First Name
*Last Name
*Street Address
*City
*State
*Zip Code
*Home Phone
Work Phone
Cell Phone
*Main E-mail
*Retype E-mail


Optional Information:
 
Parent 2 First Name
Parent 2 Last Name
Parent 2 Work Phone
Parent 2 Cell Phone
Parent 2 E-mail

Player Information

*First Name
*Last Name
*Grade  
*DOB
(xx/xx/19xx)
*Sex Male Female
*Jersey Size
*Shorts Size
*Shoe Size
(9, 9.5, 10 etc.)
*School
AAU#
(if applicable)
Player Dues  
$495 with new uniform
$425 using old uniform

Emergency contact - if it's the same as above type SAME.

Emergency Contact(s):
Emergency Phone(s):

Please add any comments, FRIENDS or TEAMMATES signing up, if applicable, special instructions, other phone numbers or other information that may be important to us!

 

I agree that I am authorized to fill out this form and register the above individual for the Eastern Basketball Program for 2008. I hereby represent the registered person and all parties, players, coaches, parents, guardians and representatives agree to hold harmless any and all persons involved in the Hamilton-Wenham Youth Basketball Program, HWYBI, HWYBB, Eastern Travel League, Cape Ann Travel League, Doug Lindland, and any employees, contractors, sub-contractors, officials, referees, board members and Hamilton-Wenham School and Gordon College system employees, agents, contractors, sub contractors and agents for any injuries, accidents, cancellations and other unforeseen events and circumstances

Please type your name agreeing to above statement:       

* Confirm:           Please type CONFIRM in the box

Be sure all information is accurate before submitting the form. When you press Submit, an automatic form will be generated for you. Please print, sign and mail it in with your check or pay online here. By registering here, your information is automatically entered into our database - thank you!

PLEASE ONLY SUBMIT THIS FORM ONCE - IT MAY TAKE UP TO 60 SECONDS TO SEE THE CONFIRMATION

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