O-Town H.U.S.T.L.E. AAU Basketball Program Sports Mentoring Form

Name of Child:*

Age of student:*

Date of Birth of student:*

MonthDayYear

School student attends:*

Grade of student:*

YesNo

Please list any allergies that the student may have:

Please list any medical condition the student may have:

Is there anything else we need to know about the student that will help us best support your child?

What are some of your goals?

Think: 5month, 1 year, 5 years.

What is your favorite thing to do?

What is your expectation from your mentor?

Latino/HispanicNon-Latino/Hispanic

YesNoPrefer not to answer

Mother's/Father's Name:*

First NameLast Name

Telephone Contact - Home:*

Area CodePhone Number

Telephone Contact - Work:*

Area CodePhone Number

Telephone Contact - Cellular:*

Area CodePhone Number

Email address:*

Has your student participated in the tutoring/mentoring through O-Town Hustle before?

🏀 O-Town Hustle Mentoring & Youth Basketball Program

O-Town Hustle offers mentoring and basketball programming for 1st grade through high school-aged students every Wednesday and Saturday from 5:30PM to 7:00 and 10:30am to 12:00pm PM at Only The Motivated Academy, located at:

📍 2221 N Forsyth Rd, Orlando, FL 32807

Our youth basketball league runs on both days, also at Motivated Academy. At our core, O-Town Hustle is a faith-rooted mentoring and youth development movement. While coaching and player interactions on the court remain central to our mission, we’ve built out a series of initiatives under the banner of “The Heart of the Hustle”—a commitment to nurturing the full journey of every young athlete.

The Heart of the Hustle reflects our belief that youth need more than trophies and highlight reels—they need spiritual grounding, academic support, emotional resilience, and leadership training. Through Zion the Lion’s example and our community partnerships, we equip young people to rise with purpose, pride, and character.

A responsible adult is required to drop off and pick up students at Motivated Academy. All children must be signed in and out by a parent or legal guardian.

By participating in O-Town Hustle programs—including mentoring sessions and the youth basketball league—parents or legal guardians grant O-Town Hustle permission to use photographs, videos, or other media capturing their child’s likeness for promotional, marketing, or informational purposes. This includes, but is not limited to, use on the O-Town Hustle website, social media platforms, and printed materials.

During the summer months, dates, times, and locations are subject to change. For updated information, please contact:

📞 Mike Freeman at 267-800-6897
📧 info@OTownHustleAAU.org

Name of person completing this form:*

First NameLast Name

Name of Person that will be collecting child:*

Relationship to Child:

E-mail address of person completing this form:*

Mentoring Registration Form

Parent Information