Overtime League Registration – Renegades Basketball Inc.

WINTER OVERTIME LEAGUE
Boys and Girls 3rd Grade through 11th Grade
Checks Payable to: RENEGADES, 858 Street Rd., Southampton, PA 18966
Gym Location is Renegades Kelly Bolish Gym, 2950 Turnpike Dr., Hatboro, PA
Players must be a Renegades Club member to play on a Renegades Winter Overtime League team

Cost is 250.00 for Overtime league plus 50.00 Winter uniform fee for new players plus Club membership fee. Brand new club members pay partial Winter club membership fee of $125.00
(Click on Club Info link for membership fee info)
Please register as soon as possible or by 10/15/23 because practices/evaluations start late Oct!
League games begin Friday Dec 1, 2023
Note: Please fill in your child’s current 2023 grade & height and his/her Youth or Adult shirt size!
Please use the form below to register as an individual on a Renegades Club team. To find out when your child’s first game is please go to: www.renegadesbasketball.com & click on leagues & click on Winter Overtime league! Schedule for week 1 will be posted by Wed Nov 29, 2023

Player First Name

Player Last Name

Mother Email Address

Father Email Address

Gender *

Female

Male

Rate Player’s basketball performance

Position

Guard

Forward

Player BirthDate *

Player Height *

Address *

City *

State *

Zipcode *

Mom’s Cell Phone

Mom’s Name

Dad’s Cell Phone

Dad’s Name

New Player Shirt Size

New Player Short Size

Jersey No (5 picks, separate with commas. No digit over 5, i.e. 5, 10, 25, 55 etc.)

School Grade Fall 2023 *

Player School *

Please describe player’s basketball experience (yrs of AAU, travel, school, intramural etc)

If last year’s reversible jersey & shorts still fit please enter jersey number or enter any issues

If entering as a member of a team enter Coach’s Name:

If entering as a member of a team, enter Team Name: