Player Info - Player Evaluation Registration

Player Evaluation Registration Form

* Indicates required field

Player Name *

First

Last

Date of Birth (mm/dd/yyyy) *

Grade for 2016-2017 School Year *

Name of School you are currently attending *

Parent or Legal Guardian Name *

First

Last

Phone Number *

Alternate Phone Number *

Email *

A Parent / Legal Guardian must read 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 agree to the terms of the Consent, Waiver & Release.

submit

​Player Evaluation Registration Form

Player Evaluation Registration Form