Basketball Academy Registration Form
Parent Name
*
First Name
Last Name
Parent Email Address
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Player Name
*
First Name
Last Name
Players School
*
Player Age
*
Please Select
9
10
11
12
13
Player Gender
Please Select
Male
Female
Prefer Not to Say
Please list any medical issues we need to be made aware of.
*
Name of Emergency Contact
*
First Name
Last Name
Phone Number of Emergency Contact
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What experience does your child have with basketball?
Brand New (No Experience)
Beginner (6 months to a year)
Intermediate (2 Year or more)
Has your child player on a team before? If so, what level?
Recreational
Travel/Club
School
Has not player on an organized team
Does your child participate in other sports? If so, please list which sports.
What are the main goals for your child in basketball?
Skill Development
Overall Basketball Education
Fitness
Other
How do you prefer to receive updates and communication regarding practice time & feedback?
Email
Text
Other
Health Acknowledgement Waiver - By selecting yes here, you verify that all children registering have been checked by a licensed physician and are physically able to participate in the Tri Star Basketball Academy. I agree to allow my children to be treated by a licensed physician while attending, if necessary and to assume all costs related to such treatment.
*
Yes, I Agree
*
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Tri - Star Basketball Academy
$
350.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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