The Academy Basketball Grassroots Registration

The Academy Basketball Grassroots Individual Registration

March-May Grassroots Spring Season - $90 ($45/mth) Player Registration
Athletes Name*

First NameLast Name
Grade Level of Athlete*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Contact Phone Number*

Area CodePhone Number
By signing this form, you affirm that all the information herein is true and correct to the best of your knowledge. Any false information or misrepresentation that shall be found may cause the disqualification of such individual and penalty may be incurred against the team.
Parent or Legal Guardian's Signature*

Clear
Name of Signatory*

First NameLast Name
Date Signed*

MonthDayYear
Date

My Products*

Basketball Player Registration $92.70

Player Registration of $90.00 + Processing Fee (3%)

Quantity

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Total $0.00