Youth Registration Form Youth Registration FormPlease select the program/event you are interested in registering for at the bottom of the page. Youth Name *Gender *FemaleMaleAge *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryParent or Guardian Name *Phone *Email *School Breaks Need a safe place for your child(ren) while they are on school break? Bring them to the JLSCC and we'll take good care of them. We will provide (2) snacks and lunch.Thanksgiving Break Cost: $45 per child or $20 per dayMondayTuesdayWednesdayChristmas Break Cost: $45 per child or $20 per dayMondayTuesdayWednesdaySpring Break Cost: $75 per child/per week or $20 per dayMondayTuesdayWednesdayThursdayFridayBasketball Camp JLSCC is offering basketball camp after school during the school year. We will pick up your child(ren) from school, provide a prepared snack and teach them basketball skills and techniques. Cost $50 per child (Elementary & Middle School Students)Gender FemaleMaleAge School Middle Madness JLSCC Middle Madness Basketball League for 5th, 6th, 7th, and 8th grade girls and boys. The league has a 14 game schedule to include a Christmas tournament, end of season tournament, 2 games and 2 practices per week. Players will receive uniforms and awards. Cost $125 per playerGrade 5th6th7th8th VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: [wp_paypal_payment]
