Registration Form If you have any questions about registering a participant please send us an email at info@purposeyouth.ca Participant Name *Participant Date of Birth *Street Address *CityZIP / Postal CodeSelect all programs you are registering for *Fall 2025 - Bible Study (In-class lesson only)Fall 2025 - Single Week Programs (In-class Bible study and on-court training)Fall 2025 - Full 12-week Program (In-class Bible study and on-court training)Select all weeks you are registering for *Week 1 - September 15Week 2 - September 22Week 3 - September 29Week 4 - October 06Week 5 - October 20Week 6 - October 27Week 7 - November 03Week 8 - November 10Week 9 - November 17Week 10 - November 24Week 11 - December 01Week 12 - December 08Please only complete this question if you are NOT registering for the Full 12-week program. If you are registering for the Full 12-week program, please update your selection on the previous question.Participant Grade (2025 - 2026 school year) *Participant GradeGrade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12What is the highest level of basketball played? *Never played organized basketballHouse LeagueSchool TeamRep League or higherShirt Size (Men's Sizes) *SMLXLDoes the participant have any allergies *YesNoPlease list all allergies *Parent Guardian Name *Parent/Guardian Phone Number *Parent Guardian Email *Do you want to provide an emergency contact? *YesNoIf yes is selected you will be prompted to fill out the emergency contact information. If no is selected the Parent contact will be used as the emergency contact person.Emergency Contact Name *Emergency Contact Phone *Emergency Contact Relationship to Participant *Do you want to register another participant? *YesNoEnter the First and Last Name of the Additional Participant *For multiple participants, separate each participant Name with a commaEnter the Date of Birth of the Additional Participant *For multiple participants, separate each participant Date of Birth with a commaEnter the Grade of each additional participant *For multiple participants, separate each participant Grade with a commaHow did you hear about us?InstagramTikTokFacebookFlyerOtherEmail CommunicationsBy checking this box, you consent to receive emails regarding programs, events and promotions. You may unsubscribe at any time.Registration Acknowledgment *I acknowledge that a participant's registration in the program is not complete until the "Participant Activity and Release Waiver" has been completed.Consent *Yes, I agree with the Privacy Notice and Terms of Service.Continue RegistrationPlease do not fill in this field.
