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Player Information

First Name *

Last Name

Player Age *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone number *

Email Address *

Basketball skill levelIntroductory - I just started playingBasic - I have experience and need to build fundamental skillsAdvanced - I have played on travel, middle school or high school teamsPerformance - I have participated in city/regional competitions

Are you interested in volunteering when your team is not playing?Unfortunately, I don't have enough time at the momentMatch RefereeScoreboard Operator

Parent or Guardian Information

Will this person also be an emergency contact?YesNo

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Last Name

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