Youth Basketball League Registration 2025-26

Sign up a team for the Youth Basketball League. Please fill out the following form to reserve your spot(s) for the 2026 PHUMC Youth Basketball League. The rules can be found below. If you have any questions please call Heather Doherty at 501-664-3600 or hdoherty@phumc.com. The deadline to sign up is October 15.

I am registering(Required)

An Individual to Play for a PHUMC Team

For a Team

CHURCH/SYNAGOGUE INFORMATION

Name of Church/Synagogue(Required)

Church/Synagogue Contact Name(Required)

Note, this must be a person employed by the church/synagogue. This is used to verify the team is actually from this church/synagogue

Church Contact Phone(Required)

Church Contact Email(Required)

TEAM INFORMATION

Division(Required)

Coach Name(Required)

First Last

Note, if you don’t have a coach yet, put the church contact in this spot.

Coach Phone Number(Required)

Coach Email(Required)

List

Player Name

Emergency Contact Name

Emergency Contact Number

Individual Player Information

Student Name(Required)

First Last

Student Grade(Required)

School Student Attends(Required)

Student Gender(Required)

Student Jersey Size(Required)

List of players or coaches student would prefer to play with (If you already have a team picked, please select the "Team Option")

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Parent/Guardian Phone(Required)

Additional Emergency Contact Name(Required)

First Last

Additional Emergency Contact Phone(Required)

Signature(Required)

This is to inform those concerned that Pulaski Heights United Methodist Church will not be held liable for injury sustained as the result of basketball games during the 2026 Church Basketball League sponsored by Pulaski Heights United Methodist Church. Each player will be responsible for providing their own personal insurance to cover any injuries sustained while playing in the League during the 2026 season. Our League Rules state in rule #15 that: “this league is designed for those who do not play on a AAA sanctioned School Interscholastic Teams…” By signing below the parents acknowledge that they understand this rule and that their child is not playing for a school team. Please type your name below to confirm your understanding

PAYMENT INFORMATION

Individual Price(Required)

Price:

Coupon Code

Team Price(Required)

Price:

Total

Credit Card(Required)

Cardholder Name

Card Details

If you have any questions, contact hdoherty@phumc.com or call 501-664-3600.

Youth Basketball League UMC Early Registration

Youth Basketball League Registration 2025-26

CHURCH/SYNAGOGUE INFORMATION

TEAM INFORMATION

Individual Player Information

PAYMENT INFORMATION

If you have any questions, contact hdoherty@phumc.com or call 501-664-3600.

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