St Stephen's CYO Registration

2017 - 2018

**Registering online before the tryouts is FREE. Registering at the tryouts will result in a registration fee of $10**

(Cost for the 2017-2018 season is expected to be $150-175 per player (TBD) + $60-65 for uniform)

There is a $5 tryout fee (separate from registration)

Member Information

Fill in the information below for your child and the parent(s):

Child's First Name *

Child's Last Name *

Male or Female? *

Child's Grade in Sept 2017 *

Child's DOB (MM/DD/YYYY) *

1st Parent's First Name *

1st Parent's Last Name *

2nd Parent's First Name (optional)

2nd Parent's Last Name (optional)

Street Address *

City *

State *

Postal Code *

Home Phone *

Cell Phone *

Email Address *

2nd Email Address (optional)

Registrant's Parishioner Information

Is your family part of St Stephen's Parish ? *

Parishioner (If Parishioner, please provide Parishioner # in box below)

Non-Parishioner (If Non-Parishioner, please provide your Parish in box to right) Non-Parishioner (If Non-Parishioner, please provide your Parish in box to right)

Parishioner #

St Stephens CYO Basketball Contact information: StStephensCYO@optonline.net