Basketball Training Registration Form
For questions or additional info, contact Damien McClain at dmcclai@yahoo.com or 704-562-7934. If you are registering more than one child, please fill out a separate form. Thank you.
Participant's Full Name
*
First Name
Last Name
Parent/Guardian's Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Participant's Date of Birth
*
-
Month
-
Day
Year
Date
Student's Grade
*
3rd
4th
5th
6th
Registering more than one child?
*
Yes
No
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Medical Information
Payment Options
*
CashApp ($5vs5)
Venmo (@Damien-Mcclain-6)
Stripe (https://bit.ly/5vs5Stripe)
Cash
Do you have questions or concerns?
Parent/Guardian Signature
*
Submit
Should be Empty: