Anthony Ray's Recruiting Academy

Anthony Rays Recruiting Academy Registration Form
Full Name
Date of Birth MMDDYYYY

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Grade Level
School Name
Height
Position (Guard, Forward or Center)
Full Name
Phone Number

Area CodePhone Number
Email Address
example@example.com
Emergency Contact Name Number
AAU Club Team if applicable
Coachs Name
Coach's Contact (Phone/Email)

Area CodePhone Number
Years of Basketball Experience
Preferred Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Anthony Rays Recruiting Academy
Acknowledgment & Consent

I, the undersigned, hereby certify that all information provided is accurate to the best of my knowledge. I agree to allow my child to participate in the Arizona Preps Basketball Recruiting Academy and authorize the use of their photos/videos for promotional purposes.
Signature of ParentGuardian
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Anthony Rays Recruiting Academy