The Waveffect Academy
Year-Round Hub Form
Student Information
Student Name
First Name
Last Name
Gender
Please Select
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Grade
Please Select
2nd
3rd
4th
5th
6th
7th
8th
9th
School Name (No Abbreviations)
Parent/Guardian Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Preferred Contact Method
Call
Text
Email
Has your child played organized basketball before?
Yes
No
If yes, where and how many years played?
Player Skill Level
Beginner
Intermediate
Advanced
Which days is your child generally available? (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time
After School
Evenings
Interest Level
What are you interesed in after the WDL? (Check all that apply)
Summer Camps
AAU Team Opportunities
Private Training
School Team Prep
Skills Clinics
Tournaments
Leadership/Mentorship Programs
Parent Support & Involvement
Would you be interested in helping with the program?
Yes
No
If yes, how?
Coaching
Volunteering
Sponsorship
PLAYING AT THE NEXT LEVEL
Does your child want advanced competition?
Yes
No
Interested in:
AAU Basketball
Elite Skills Training
Exposure Tournaments
Strength & Conditioning
Commitment Level
Recreational
Competitive
Elite/Highly Serious
Parent willingness to travel:
Local Only
Regional
National Events
Additional Comments
Submit
Should be Empty: