Player Registration – Cleveland Mambas Basketball

Player Name *

First

Last

Player Date of Birth *

Player Grade *

Parent/Guardian Email *

Parent/Guardian Phone *

Comment or Message *

Payment Information

Please complete the information and submit your payment for registration and dues. Dues will cover your players gym rental and registration covers tournament fees.

Registration & Dues *

Registration - $ 100.00
Dues - $ 195.00

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Total Amount

$ 0.00

Payment Type

Credit Card
Venmo
Check

Pay with Credit Card *

Credit Card field is disabled, Square account connection is invalid. Please, contact to the site administrator.