MBB Registration Form

Mars Hill MBB Elite Camp Registration Form

Pay with Cash or Check (Make payable to Mars Hill Men's Basketball)
Athlete Name*

First NameLast Name
Birth Date

MonthDayYear
Athletes Email
example@example.com
Athlete Phone
Please enter a valid phone number.Format: (000) 000-0000.
School
Example: John Doe High School
Graduation Year
Example: Class of 2024
GPA
Example: 3.0
AAU Team / Travel Team
Example: Carolina Red 23
Emergency Contact Name *

First & Last Name Relationship
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name (2)*

First & Last Name Relationship
Emergency Contact Phone (2)*
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Card

Upload a picture of your insurance card
Cancelof
Insurance Name
Example: Cigna
Sports Physical

Upload a current sports physical
Cancelof
Medical History (Allergies, Injuries, etc.)
Health Information that our coaching staff / trainers need to be made aware of to ensure your safety
Should be Empty:

Mars Hill MBB Elite Camp Registration Form