Uprise Women's League Free Agent Registration
Registration Fee of $225 is due upon completion of this form
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
What is your height?
*
What position do you play?
*
What is your basketball experience?
*
Special Requests
Payment Amount
*
DUE UPON COMPLETION OF REGISTRATION
Signature
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Should be Empty: