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Athlete Registration

Please submit one form per child. Using the same parent email for each child is essential for household tracking.

Child First Name*

Child Last Name*

Date of Birth*

Month

Day

Year

School Team*

Position*

Point Guard (1)

Shooting Guard (2-3)

Forward (4)

Post (5)

Other

Preferred Jersey Number *LIST THREE, from most desired to least**

Medical Information

Emergency Contact

Emergency Contact Name*

Emergency Contact Phone*

Parent Email*

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