INTERNET REGISTRATION

• If you do not want to register with a credit card, feel free to print this page and mail it to:
• Sabes JCC, c/o Registrar, 4330 S. Cedar Lake Rd., St. Louis Park, MN  55416 or
• Fax to: (952) 381-3401

Gender: Male Female

Grade: Pre-K K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Please rate your child: "A" Excellent "B" Above average "C" Average "D" Below Average

Jersey Size: Yth Small Yth Medium Yth Large Adult Small Adult Medium Adult Large

Name Parent Name

Address Birthdate

City Zip

Home # Work #

Emergency # E-mail

I am willing to be a: Coach Co-Coach Ass't Coach Parent Manager(traveling teams) None

Pick ONE child you would like to play with:

*Visa or MasterCard # Exp.

*Please note, this is not a secured website

Check all that apply: Preseason Basketball Clinic $50 Yes No

Start Smart Fall Start Smart Winter $65 members ~ $80 Non-Members

Youth League Member $85 Youth League Non-Member $145 Traveling Team $275