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 * Payment Options * Please select the payment option you would like to do. Our team will send you the payment link after submitting the registration application. Full Payment- Full payment of 3,599.00 Partial Payment - 2 payments of 1,799.50 x 2 months 3 Payments- 3 payments of 1,199.67 x 3months 6 Payments- 6 payments of 599.84 x 6 months 8 Payments- 8 payments of 449.87 x 8 months Thank you!