2022 - 23' Bridlemile Beagle & Albina Basketball Registration
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Student Athlete: First and Last Name *
Parent/Guardian (1):  First and Last Name *
Parent/Guardian (1):  Email *
Parent/Guardian (1):  Phone contact *
Parent/Guardian (2):  First and Last Name
Parent/Guardian (2):  Email
Parent/Guardian (2):  Phone Contact
Emergency Contact:  First/Last Name, relationship, phone number *
Grade Level *
Elementary School *
Basketball Experience *
How did you hear about this basketball program? *
Registration Date/Time *
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Time
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