NBA Kappa League - Interest Form

Thank you for your interest in the New Brunswick (NJ) Alumni Kappa League program. NBA Kappa League is a mentoring program for young men of color in 6th to 12th grade. We look forward to the opportunity to work with your son. Please complete the information below so that you are added to our prospective member distribution list. You will receive information about upcoming meetings and events. You will also receive a notice when our membership application is released. If you have any questions, please contact us at nbakappaleague@gmail.com.

Please follow us on social media:

Instagram: @nba_kl

Youtube: NBA Kappa League TV
Name of parent

First NameLast Name
Name of student*

First NameLast Name
Address*

Number

Street Address Line

CityState / Province

Postcode
Parent's Phone Number

Area CodePhone Number
Parent's Email
example@example.com
Student's Age *
Student's Grade*
Student's School*
Thank you very miuch. Have a great day.
ACHIEVEMENT HAPPENS HERE
Should be Empty: