B3 Basketball - 2020 Player Registration
First Name *
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Last Name *
Your answer
Gender *
Grade (2019-20 School Year) *
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Date of Birth *
MM
/
DD
/
YYYY
Street Address
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City
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State
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ZIP
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Home Phone
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Cell Phone
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Church (If you regularly attend church, which one?)
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Participant Notes, Special Needs, Restrictions (if any)
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Father / Guardian
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Mother / Guardian
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Emergency Contact
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I would like to assist this league by being a:
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