Fall 2025 Basketball League Registration – Fayetteville Athletic Club

Fall 2025 Adult Basketball League Registration Form

"*" indicates required fields

Step 1 of 2 – Team Captain Information

Team Captain Information

Team Captain's Name*

First Last

Team Captain's Phone Number*

Team Captain's Email Address*

Notes to Our League Director (Rod Stull)

Team Member Information

Each player must pay $69 at the FAC Front Desk. Team shirts will not be issued until team fee has been paid in full. League fees are non-refundable within 7 days of the season start date.

Team Member 1 Name*

First Last

Team Member 1 Phone*

Team Member 1 Email*

Form of Payment*

Team Member 2 Name*

First Last

Team Member 2 Phone*

Team Member 2 Email*

Form of Payment*

Team Member 3 Name*

First Last

Team Member 3 Phone*

Team Member 3 Email*

Form of Payment*

Team Member 4 Name*

First Last

Team Member 4 Phone*

Team Member 4 Email*

Form of Payment*

Team Member 5 Name*

First Last

Team Member 5 Phone*

Team Member 5 Email*

Form of Payment*

Team Member 6 Name*

First Last

Team Member 6 Phone*

Team Member 6 Email*

Form of Payment*

Team Member 7 Name*

First Last

Team Member 7 Phone*

Team Member 7 Email*

Form of Payment*

Team Member 8 Name*

First Last

Team Member 8 Phone*

Team Member 8 Email*

Form of Payment*

Team Member 9 Name

First Last

Team Member 9 Phone

Team Member 9 Email

Form of Payment

Team Member 10 Name

First Last

Team Member 10 Phone

Team Member 10 Email

Form of Payment