2022 High School Basketball Fall League Payment High School(Required) Head Coach(Required) First Last Please list two assistants for pass list(Required)Is this a boys or girls team?(Required) Boys Basketball Girls Basketball Email(Required) Phone(Required)Product NamePease check dates below(Required) All 5 Mondays Sept 12 Sept 19 Sept 26 Oct 3 Oct 10 $425 per team for all 5 Mondays (10 games) or $100 per Monday if you cannot do all 5 days.Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name CAPTCHA