registration form Name * First Name Last Name Date of Birth * MM DD YYYY Place of Birth * Phone * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Emergency Contact Name * First Name Last Name Phone * Country (###) ### #### Relation * Name * First Name Last Name Phone * Country (###) ### #### Relation * Player Info SHIRT SIZE * S M L XL 2XL 3XL SHORT SIZE * S M L XL 2XL 3XL Shoe Size * Weight * Wingspan Basketball Club * Age Group * League * Stats Points * Rebounds * Assists * Steals * Blocks * Success Stories * Academics Name of School * Grade * GPA * Medical/ Dietary Restrictions Medications, Injuries, Allergies & Food Restrictions * Thank you!