FCA Sports powered by GOALLINE.ca

Home > Winter 24- Youth Basketball League- Hope Mississauga

Youth Basketball League

Ages 7-10 (6pm - 7:15pm)
Ages 11-14 (7:15 - 8:30pm)
Location: Hope Church Mississauga (7755 Tenth Line W)
Thursdays
10 Weeks Program
Includes: Water Bottle, Bracelet and jersey
Starting Date January 11th
Price $150

3 Saturday Games: Jan. 27th, Feb 24th, and March 16th. Locations TBD

Event Information

NameWinter 24- Youth Basketball League- Hope Mississauga
CategoryBasketball
LocationHope Church Mississauga
VenueHope Church Mississauaga (7755 Tenth Line W)h
Start DateJanuary 11, 2024
End DateMarch 28, 2024

Contact NameDavid Trenado
Contact Emaildtrenado@fca.org
SanctionedNo

* Indicates Required Field

Athlete Information

Are you a returning Athlete?

Yes No

First Name *

Last Name *

Middle Name

Birthdate *

Access Code

(Only returning players need to enter the Access Code.)

What's my Access Code?

Email Address *

Health Card Number *

Address *

City / Hometown *

Province *

Postal Code *

Additional Notes:

Please share any additional information about your student athlete.

Does the student athlete have any allergies?

Does the student athlete have any allergies? If so, please list.

Do you already own an FCA Jersey? *

Jersey Size *

Please provide your jersey size.

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Middle Name

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Verify Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Use Above Address

Parent/Guardian Address *

Parent/Guardian City *

Parent/Guardian Province / State *

Parent/Guardian Postal / Zip Code *

Who has permission to drop off and pick up your student athlete?

Please provide the first and last name, relation to the student athlete, and contact number for each person who has approval to drop off and pick up your student athlete.(ex. John Smith, Uncle,123-123-1234; Jane Doe, Friend, 123-123-1234) No one besides the pre-approved list will be able to sign in or out your student athlete.

Parent/Guardian 2 Information

Parent/Guardian 2 First Name

Parent/Guardian 2 Middle Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email Address

Verify Parent/Guardian 2 Email Address

Parent/Guardian 2 Birthdate

Parent/Guardian 2 Phone Number

Use Above Address

Parent/Guardian 2 Address

Parent/Guardian 2 City

Parent/Guardian 2 Province / State

Parent/Guardian 2 Postal / Zip Code