AJ Basi Basketball School Visit Application Form
To request to have AJ attend your school for an upcoming visit, please complete the below information.  The visit timelines are Monday to Fridays, from June 6 to 26, 2019.  Lines marked "PUBLIC" will appear on the Basketball Manitoba website.  
Sign in to Google to save your progress. Learn more
School Name *
PUBLIC: Full name, no abbreviations
School Street Address *
Physical street address of the school.  No PO boxes.  
Contact Person *
PUBLIC: First and last name of the contact person at the school
Email Address *
Phone Number *
Daytime phone number
Grades Involved *
Check all grades that would be present during the visit.
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Basketball Manitoba.

Does this form look suspicious? Report