LSC Sport Lions - Men's Basketball Academy
Registration of Interest
Name
*
First Name
Last Name
Birth Date
*
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Month
-
Day
Year
Date
Current School
*
Current School Year
*
Current Club (If applicable)
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Parent/Guardian Information
Name
*
First Name
Last Name
Phone Number
*
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Area Code
Phone Number
Alt. Phone Number
*
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Area Code
Phone Number
Submit
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