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Basket Instructor Referral Form
Complete your name/email and the name/email of the Instructor you are referring.
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Your First Name
*
Your answer
Your Last Name
*
Your answer
Your Email
*
Your answer
First Name of Referral
*
Your answer
Last Name of Referral
*
Your answer
Referral's Email
*
Your answer
Referral's Phone (optional)
Your answer
Where does this person live?
*
Canada
US
Unknown
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