Clone of Midwest Select 5th Grade Registration

Midwest Select 7th Grade Registration

Winter 2026-2027 Registration Form Registration Ends October 9th, 2026. Registration Fees Are Non-Refundable
IMPORTANT

Please do not complete this form if you are requesting a payment arrangement. Instead, contact us at midwestselectyouthbasketball@gmail.com or complete the contact form on the Midwest Select website. We will follow up with you regarding the next steps.
Player Information
Player's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Level
Uniform Size
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian Contact Information
Parent's / Guardian Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Parent's / Guardian Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Emergency Contact(s)

Please enter at least one emergency contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Commitment
Please select the days of the week your player is available to practice.
A $250 registration fee is due at the time of registration.

To help keep costs affordable for our players and their families, fundraising plays an important role in supporting our organization. We ask that each family participate in scheduled fundraisers during the season.

If you prefer to opt out of the team’s mandatory fundraising requirement, you may instead pay a $500 registration fee. This fee will fulfill and eliminate the fundraising obligation.

ALL REGISTRATION FEES ARE NON-REFUNDABLE

Consistent practice attendance and arriving on time are critical to the success of both your child and our team. Failure to meet attendance expectations may result in consequences, including loss of playing time, being held out of games, or, for repeated violations, dismissal from the team.
Acknowledgement
Registration
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Winter Registration (Fundraiser Obligation)
2026-2027 Winter Season

Non-refundable

$250.00 Quantity

Winter Registration (No Fundraiser Obligation)
2026-2027 Winter Season

Non-refundable

$500.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Midwest Select 7th Grade Registration

IMPORTANT

Player Information

Parent / Guardian Contact Information

Emergency Contact(s)

Commitment

Registration*

Payment Methods

Registration