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2018 ASA Fall Program
Registration through this form will not be final until payment is received.  Payment must be sent to the following address:

ASA Basketball
PO Box 31682
Walnut Creek, CA. 94598

To pay by credit card, please go back to asahoops.org and choose the option to register by credit card.

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Player Name *
Parent Name *
Email
Street Address *
City *
Zip Code *
Phone Number *
Parent 2 Name
Parent 2 Phone
Grade in Fall 20108 *
Location *
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