Summer 2026 Registration Form | Pioneer Valley Titan

Pioneer Valley Titans Basketball
Summer 2026 Registration Form

The fee associated with registration covers the following:

1. Team Registration

2. Uniform (Jersey and Shorts)

3. Practice Space

PLEASE DOWNLOAD, COMPLETE, AND UPLOAD THE LIABILITY AND CONSENT FOR MEDICAL TREATMENT WAIVER AT THE BOTTOM OF THIS FORM.

Players First Name

Players Last name

Players Date of Birth

Month

Day

Year

Parent 1 First Name

Parent 1 Last Name

Parent 1 Contact Number (Cell)

Parent 1 Email

Parent 2 First Name

Parent 2 Last Name

Parent 2 Contact Number (Cell)

Parent 2 Email

Emergency Contact Number:

What grade is your child going into in the fall (2026)?

5th Grade

6th Grade

7th Grade

8th Grade

Team placement is based on the grade your player will be entering in the fall. For example, if your player will be going into 7th grade in the fall, then your player will be placed on the 7/8 squad.

What size shirt does your player wear?

What size shorts does your player wear?

Preferred jersey number (1st Choice):

Preferred jersey number (2nd Choice):

Preferred jersey number (3rd Choice):

Preferred last name on jersey:

Please submit the signed waiver form here:

Team registration fee.

$200

WAIVER FORM (DONWLOAD ME)

Pioneer Valley Titans Basketball Summer 2026 Registration Form

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Pioneer Valley Titans Basketball
Summer 2026 Registration Form