Application

Parent/Guardian Information

Full Name:

Mailing Address:

E-mail Address:

Primary Phone Number:
Alternate Phone Number:

Participant's Information

First and Last Name:

Participant's Grade in School:

Participant's Gender: Male Female

School Participant is Attending:

Activities

Select the activity in which you would like your child to participate

Pee Wee Hoops ($60.00)

*Indoor Soccer ($60.00):

Iddy Biddy Ballers ($60.00):

Tiny Tots ($60.00):

*soccer is only offered when posted.

Personal Basketball Training: Please contact for Appointment

Basketball Camps when offered are only for half-days (9am to 12pm).                                   

Half Day, $75                                                             

Columbia Orange Basketball Program:                                                 

Please contact us regarding Columbia Orange membership

Questionnaire

T-Shirt Size:

Is your child currently under a physician's care or on medication?
Yes No

If yes, explain:

Are you a parent interested in coaching?
Yes No

Did you or your child coach or play in MSC's Leagues last season?
Yes No

If so, what activity?

Additional information:

Signature

Parent/Legal Guardian Signature: Date:
Typing your name in the above field constitutes a digital signature.

Please note that NO Refunds. MSC will credit participants for another activity if a situation prohibits them from participation.