PaHoops Registration
Elite Basketball
College Exposure
2021 Application
Email *
Player First Name *
Player Last Name *
Gender *
Address *
City *
State *
Zip Code *
Phone Number *
Year of Graduation *
Height *
Weight *
Player Bio--Include a short response of academic awards and athletic achievements.
Name of High School Attended *
City of High School Attended *
State of High School Attended *
Parent Consent Parent Consent and Medical Information (Players cannot participate unless they have medical insurance).-Players cannot participate unless this section has been completed and signed by the parent or guardian. I understand that the Showcase and the host venue does not carry medical or accident insurance for the participants, and I hereby certify that my child is covered by personal insurance or is included in a policy which I have in place. I authorize routine medical care for my child by the Shootout trainer. I further authorize any treatment considered routine to be referred to a local physician or to an emergency room at my expense. I further authorize and provide my consent and permission for my child to participate in this event. Please indicate your acceptance by printing your name in the box below. *
Insurance Company *
Policy Number *
Group Number *
Name of Policy Holder *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent Contact Phone Number *
Payment Choices (please indicate how you will be paying for the showcase.) *
Showcase Registration Option *
Showcase Date Attending *
Required
A copy of your responses will be emailed to the address you provided.
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