Basketball Yukon RTC Player Registration FormFall 2007 Player Name: _____________________________________________ Age: _______ Date of Birth: ____________ Your Address: __________________________________ _______________________________ Phone: _________________ Email: __________________ Parents Names: ____________________________________ _________________________________________ Phone: __________________ Parents Address: ______________________________________ ____________________________ Grade: ______________ School: _______________ Coach: ___________________________ Yukon Health Insurance #: ___________________ Boys RTC program :
Girls RTC program :
Please print and complete this form and drop off at Sport Yukon, 4061-4th Avenue |