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Player Information Form
Please Note -
Junior & Senior registration is
CLOSED
*
Indicates required field
Player Name
*
First
Last
Grade for 2015-2016 School Year
*
Select One
Freshman
Sophomore
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Gender
*
Male
Parent or Legal Guardian Name
*
First
Last
Phone Number
*
Alternate Phone Number
*
Email
*
A Player or Parent / Legal Guardian (if player is under the age of 18) must acknowledge and agree to the terms of the
Consent, Waiver & Release
before the player may participate in any activities at Pursuit Basketball Academy.
Acknowledgement
*
Yes, I have read and acknowledge and agree to the terms of the Consent, Waiver & Release.
submit and continue to checkout