Men’s Basketball Fall League

Shawnee State University
940 2nd St. Portsmouth, OH 45662
4:00 PM - 10:00 PM
$75 Per Person or $500 Per Team

Registration is complete when the student registration and emergency medical forms are received.

Student Information

First Name

Last Name

Home Phone Number

Cell Phone Number

Grade completed prior to June

School District

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Sex

Date Selection

Available Dates

Saturday, October 5 at 04:00 PM - Saturday, October 5, 2024

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Email

Form Uploads

Please download and fill out the following release forms.
Once they are filled out, upload them in the fields below.

To download Emergency Medical and Release form click here!
To download Parental Consent and Release form click here!
To download Camps/Lessons/Trainings & Clinic Release and Consent Form click here!

Emergency Medical and Release Form

Parental Consent and Release Form

Camps/Lessons/Trainings & Clinic Release and Consent Form