Legal last name (& Suffix, ie. jr. III etc.)*
Government name on your birth certificate
Legal First Name *
Government Name on your birth certificate
Legal middle name*
If you don't have one type "none"
Nickname or basketball nickname if any?
If you have an on court name or nickname that you go by other than your full first name please provide it here (nothing derogatory please)
Street address*
Number & Name of the street of the town you live in
City state and zip*
ie. Anytown, MA 01777
Active Cell Phone number*
Area code plus the phone number
Current active email address where you can receive messages*
( ie. your@email.com ) This email will be used for cancellations and notices Etc
Home phone number if any
If you have a home landline phone number feel free to list it here
Emergency contact Name*
Emergency contact phone number*
Current height*
Your current height in feet and inches ( ie. 6'-1" )
Current body weight*
Your current body weight in pounds ( ie. 178 lbs )
Athletic conditioning level in your own words*
Tell us how in shape you are. For instance you are able to run an entire 40 minute full court game without any hesitation etc etc
Prior basketball experience if any*
What is your experience with the game of basketball
Current age*
How old are you right now
Date of birth*
MM/DD/YYYY ( ie. 10/15/1992 )
Shirt size for league provided jerseys (Specify Men's/Women's) *
( XS, S, M, L, XL, XXL) ie. Mens Large or Mens L
Biological Sex at Birth (Male or Female)*
Do you have a valid driver's license, state ID or Proof of Age? (Yes or No)*
Answer yes or no ( you will need a valid driver's license, form of ID, or proof of age to play in the league. You must be 19 years old or older before the start of the season to play in the league and OUT of high school
Are you a team manager (Orangizer/Coach) yes or no, if yes what is your team name*
Are you registering as a member of a team (yes/no)? If you a member of a team, What team are you on?*
ie. Yes I am part of a team, The Berkshire Badgers, Manager Paul Bunyan
Desired Basketball 🏀 Position*
ie. 1 Point Guard, 2 Shooting Guard, 3 Small Forward, 4 Power Forward, 5 Center. If you play more than one position list all the positions you play in the order of priority. The position you want first through the last
Do you have a membership to the YMCA? (Yes/No) *
NOTE: you must have a valid in current membership to the YMCA before the start of the season end for the duration of the season to be eligible to play in all games.
