Section 1 of 4
2026 Jalen Duren Summer Registration IS NOW CLOSED. REGISTER DEADLINE DATE JUNE 30, 2026
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Section 2 of 4
Participant Information
If you are registering more than one child, please submit a separate registration form for each child.
Patterson
Patterson
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TaeSion
TaeSion
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Street Address
Street Address
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City, State and Zip
City, State and Zip
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Date of Birth (Children must be no older than 12 at the start of the program)
Date of Birth (Children must be no older than 12 at the start of the program)
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Current Age
Current Age
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T-Shirt Size
T-Shirt Size
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Youth Large
Adult Small
Adult Medium
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Short Size
Short Size
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Family Physician/Pediatrician Name
Family Physician/Pediatrician Name
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Family Physician/Pediatrician Phone Number
Family Physician/Pediatrician Phone Number
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List Any Medical Condition(s)
List Any Medical Condition(s)
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Section 3 of 4
Parent or Guardian Information
Full Name
Full Name
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Cell Phone Number
Cell Phone Number
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Alternate Phone Number
Alternate Phone Number
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Email
Email
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Child Level Of Playing Experience (MUST Only Check One Box)
Child Level Of Playing Experience (MUST Only Check One Box)
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Beginner
Intermediate
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Section 4 of 4
$60 Payment Due NOW! Method of Payment PLEASE INCLUDE CHILD'S FIRST & LAST NAME WHEN PAYING
Payment can be made by
• CashApp at $JDBallerz http://cash.me/$JDballerz
• Venmo at Pay With Venmo Here
Be sure to include the child's name when sending payment.
(There will be no refunds)
• CashApp at $JDBallerz http://cash.me/$JDballerz
• Venmo at Pay With Venmo Here
Be sure to include the child's name when sending payment.
(There will be no refunds)
For more information email: jalendurensummerleague@gmail.com.
Thank you!
Thank you!
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