WWW.RECBASKETBALL.COM
Adult League Registration
Captain's Personal Information:
Name:
Gender: Male           Female
Address:
City:
State, Zip:
Phone #1:
Phone #2:
Email:
League Information:
Team Name:
League: Sunday
  Tuesday
  Thursday
  Other - ->
Age:
Skill Level: A skill level (most played college)
 B skill level (small college, very good HS players)
 C skill level (some high school players maybe not all)
 D skill level (most players did not play HS but are good players)
 E skill level (recreational players, coed teams)
Payment Choice :
How did you
hear about us?
Co-Captain Personal Information:
Name:
Gender: Male      Female
Address:
City:
State, Zip:
Phone:
Email:
3rd Teammate Personal Information:
Name:
Email:
Additional Notes/Comments:
Location players are from:
Document Distribution:
I Agree
 		I have distributed the Captain’s/Team guidebook
to the players of this team, along with a release form.
Method of Payment:
In person at a gym - You can give the money to a head referee on our league nights 7 days in advance of the event you are paying for. Our league nights are Sunday, Tuesday, + Thursday. When you go to pay in person, ask who is the head official, and pay him. Please put your payment in an envelope with your team name on it. To see what gyms we are at, got to www.RecBasketball.com, click on schedules and pick a gym near you.
By mail - You can mail the payments (we need to receive them 7 days before your event) to:
RecBasketball.com
Mailbox #600
11124 NE Halsey
Portland, Oregon 97220
Credit Card Authorization
Season Paying for:
Discounts:
Amount Applying to the Card
Verification Code: You can find the 3 digit Verification Code on the back of your credit card somewhere near the Signature line. This 3 digit Verification Code number will follow the last four numbers of your 16 digit credit card number.
If I am paying by credit card, I, authorize RecBasketball.com/Universal Whistles LLC to charge my credit card in the above amount to cover fees for basketball League(s) or Tournament. I realize that I am paying for the structure of a basketball league. I understand that satisfaction is not guaranteed. I am paying for a schedule and the normal workings of a league. If I am unhappy with the league, if I receive technical fouls, if I am ejected, or suspended, I realize that this is part of being in a league, and I understand that I have no right to refunds of any kind. For these reasons all charge backs will be invalid with my submission of this form.
Visa
MasterCard
  Credit Card #
Name of the person on the CreditCard
Expiration Date (09/09)

NOTICE: Only click the "Submit Form" Button Once.
It can take up to two minutes to process the form.

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