Developing Edge - Hosted by Xplosive Edge

Going Vertical Basketball Academy

Developing Edge - Hosted by Xplosive Edge
Athlete Information
Athlete's Name

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Referred By:
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
FALL SCHEDULE:
Current Times

4:00 PM - 5:00 PM (M, T, W, Th, Fri)5:00 PM - 6:00 PM (M, T, W, Th)
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
CLICK HERE TO PAY AND COMPLETE REGISTRATION BEFORE PRESSING SUBMIT
Should be Empty: