Please complete each field and submit when complete. Payment will be collected at Parent/Player meeting on September 23, 2010
Entering Grade: First Name: Middle Initial: Last Name: Date of Birth (mm/dd/yyyy): Street Address: Address (cont.): City: State/Province: Zip/Postal Code: Height: Year of High School Grad: Number of Years Played: Last Level of Play (AAU, Traveling, Etc): Parents Names: Home Phone: Home E-mail: Mother's Work Phone: Mother's Work E-mail: Father's Work Phone: Father's Work E-mail:
Please list any Basketball Camps or Clinics you have attended:
Please list previous positions you have played (guard, forward, post)
What other activities do you participate in? (other sports, school, church, community, etc.)
What is your preferred uniform size? (in adult sizes please.)
Parent Volunteers. Please list any of the following you would be interested in assisting the AGTBA with (1.) Concessions 2.) Fundraising 3.) Mailings 4.) Phone calling 5.) Registration 6.) Publicity 7.) Team Parent 8.) Year End Banquet 9.) Other (Please specify))