Parent's Name: 
Email Add: 
Cell#: 
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Child's Name:
Address:
City:
Age:
Grade
M/F
Birthday:
State/Zip:
***Please Note: You Are NOT Officially Registered Unless Payment Was Received With Child's Info.
Amount Paid:
Group Rate Payment for 6 Players
Single Player Registration:
$265
League Runs..
Now to August 27th 2022
Sign Up Early!!!
Come & Join The Fun!
"Make An Impact In Life, Excel In School!"
Exciting Basketball League for Teenagers Ages 14-17 Years Old!
SIGN
UP
NOW!
League
Continues
Sat. 9am-12n
Wed. 5:30-7:30pm
$750
Total
Please note in order to get discount,
full payment and rosters must be
submitted at the same time.
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