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Basketball Lessons & Teams

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Parent’s Name *

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Last

Athlete’s Name *

First

Last

Athlete’s position (leave blank if unsure) *

Athletes’s age *

Athlete’s grade level *

Athlete’s height *

Years of experience: *

Less than a year 1-2 years 3-4 years 4+ years

Choose the best answer *

I am willing to drive up to 10 miles for my son or daughter’s success through the sport of basketball: *

Yes No

Jersey size (for club teams only) *please include jersey top and bottom size please* *

Email *

Phone number *

Comments, questions, or concerns: *

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