Register | Rise Basketball

Registration Form

Fields marked * are required.

Submitting this form reserves your interest. Payment is collected separately to confirm enrollment — Matthew will send details once he reviews your registration.

1. Select a Program

Little BallersKindergarten – 2nd$175

Junior Hoops3rd – 5th Grade$220

Campus CampAll Grades · K–5$250

Session / Season *

2. Child's Information

Child's First Name *

Child's Last Name *

Current Grade *

Date of Birth

Basketball Experience

3. Parent / Guardian Information

Parent First Name *

Parent Last Name *

Email Address *

All program communications will be sent here.

Phone Number *

4. Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Relationship to Child

5. Health & Medical Notes

Medical conditions, allergies, or notes the coach should know

6. Agreement

I understand that participation in physical activities carries inherent risks. I consent to my child's participation in Rise Basketball programs and release Rise Basketball and its coaches from liability for injuries that occur during normal program activities. I understand payment will be collected separately to confirm enrollment. *

Anything else we should know?

🔒 Your information is secure and never shared with third parties.

✓ Registration received! Matthew will be in touch within 24 hours to confirm your spot and share payment details.

Quick Reference

Little BallersK–2nd · $175/season

Junior Hoops3rd–5th · $220/season

Campus CampK–5 · $250/week

Season length8 weeks

Session length60 minutes

FrequencyOnce per week

LocationYour school campus

What happens next

Matthew reviews your registration and confirms availability.

You receive a confirmation email with payment instructions and the season schedule.

Payment locks in your spot. Spots are held 48 hours after confirmation.

A welcome packet with session details and what to bring is sent before day one.

Reserve your child's spot.

Registration Form

Quick Reference

What happens next