Last Updated: April 25, 2014

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MSC Basketball Registration Information Request

! Indicates required information

Please fill out all of the required information and submit the form, someone will contact you shortly.

Player Contact Information
Today's Date:
 ! Parents Name:
 ! Player's Name:
 ! Player's Age:
Date of Birth:
 ! Phone Number:
Email Adress:
Street Address:
Town:

Player Information
School you are currently attending:
Years of Experience playing Basketball:
Position:
Throws:
Bats:
Comments
Please add any information on any existing Medical Conditions to the comments field
For example: Asthma, Diabetes, Arrhythmia ….

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