Kettering Basketball Club Spring Sign-up Form

If you are playing for the Kettering Spring competitive boys teams, please complete the information below and press the Submit button.  The information you enter will not be shared, except with your coach and the club's board members as needed to contact you or for rosters.

 

 

First Name
Last Name
Date of Birth (mm/dd/yy)
Boys/Girls
Weight (lbs)
Height (inches)
School
Grade (current)
Mother
Father
Address
Address (cont)
City
State
Postal Code
E-Mail Address
Father Home Phone
Father Work Phone
Father Cell Phone
Mother Home Phone (if different)
Mother Work Phone
Mother Cell Phone
Known Medical Conditions
Emergency Contact
Emergency Contact Phone