Special Needs Contact

Please Contact us regarding Special Needs Registration concerns using the form below.

For information about Scholarships or reduced fees, please use our Special Needs Scholarship Form.

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Special Needs Program Contact

Player's Name *

Parent/Guardian Name *

Please use this field for the name of the Player's parent or responsible Guardian.

Parent or Guardian Email *

Subject of your inquiry *

Buddy ProgramAge RegulationsSeason ScheduleOther Request

Comments or specific questions

Security *

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Special Needs/Champions Division Registration

• Online Registration available April 10
• To register by mail: please download our Champions Division Mail-in Registration form

Mail or Drop off form and payment payable to:

Safe Haven West Side Basketball League
c/o Copy Experts, Box 257, at 2424 Broadway (89th Street), New York, NY 10024.