Contact Us

Child's First & Last Name (required)

Have you registered before? If so, fill out Name, email and parent's name

YesNo

Age (Required)

Grade

School (Required)

Child's Address (Required)

Child's Email (Required)

Child's Phone Number (If Applicable)

Is this a cell phone?

YesNo

Child's Allergies

Any Basketball Experience (if so - where and what position)

Parent 1

Parent or Guardian's First and last Name (required)

Address (required)

Email

Phone Number (required)

HomeCell

Parent 2

Parent or Guardian's First and last Name (required)

Address

Email

Phone Number

HomeCell

Emergency Contact

First and last Name

Relation

Phone Number

HomeCell