Inscripcion academia de baloncesto Tektones

Inscripción matricula 2025

¡Bienvenido a la mejor academia de baloncesto de la capital!
Student Information
Nombre

First NameLast Name
documento de identidad

DocumentoID
Birth Date

MonthDayYear
Gender
Ethnicity
Email Address
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Estatura
Peso
RH
Numero de uniforme
En que sede entrena
Have you previously applied to or attended this school?
If yes, what year?
Current Residence Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number

Area CodePhone Number
Parent/Guardian Residence Information (if different from above)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact 1
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Parentesco
example@example.com
Emergency Contact 2
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Parentesco
example@example.com
Información médica
Insurance/Health Coverage (Company)
ejemplo: compensar
Número de teléfono

Area CodePhone Number
Email
example@example.com
Preferred Hospital
Notas
Please list any of the following: Current medications, Medication allergies, Food allergies, Chronic health concerns.
Por favor, informe a la oficina sobre cualquier otra información vital que considere que pueda necesitar saber en caso de emergencia. Gracias.

Emergency Contact 1