Basketball Clinic Registration

Basic Information


Name *
Parent's Name *
Grade *
Age *
School District *
School Name *
Parent's Cell #*

Contact Information


Parent’s/Guardians Emergency Contact# *
Parent’s/Guardian Email Address *
Team Name (if applicable)
Coach’s Name
Favorite Subject:


Session Attending


agree

Session Attending


Parent’s/Guardian Signature *
Player’s Signature *



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