Kettering Basketball Club Registration Form

If you would like to participate in open gyms and/or try out for the Kettering Basketball Club (Future Firebirds) Fall/Winter 2021-22 teams, you must complete the information below and press the Submit button.   Upon registration submittal, a web page should return that includes any open gym and tryout dates, locations, and time currently scheduled for your child - PLEASE BOOKMARK THAT PAGE - you will use it to show your intent to participate in each event and indicate your child's arrival at that event.   If an changes are made to dates/times/locations for open gyms or tryouts, just refreshing that page will show you the latest update.   This should greatly speed up the process.    

Please e-mail any questions to

DID YOU LOSE YOUR LINK?  Please don't register again ... just email and type child's name and grade


First Name
Last Name
Date of Birth (mm/dd/yy)  
Grade (for '21-'22 school year)
Step-Mother or Female Guardian
Step-Father or Male Guardian
Address (cont)
Postal Code
E-Mail Address(s) (separate by ; if  more than 1)
Father Home Phone
Father Work Phone
Father Cell Phone
Mother Home Phone (if different)
Mother Work Phone
Mother Cell Phone
Known Medical Conditions
Emergency Contact
(in case a parent can't be reached)
Emergency Contact Phone
If we need coaches, should we contact you?