One-on-One Training Registration

"*" indicates required fields

Player / Student Info

First Name*

Last Name*

Date of Birth*

Current 2023-24 Grade*

Basketball Experience*

School District*

What is the name of the school you attend?*

Home Address*

City*

Zip / Postal code*

Parent/Guardian First Name*

First Name

Parent/Guardian Last Name*

Last Name

Parent/Guardian Phone Number*

Phone Number

Parent/Guardian Email address*

Email address

Emergency Contact First Name*

First Name

Emergency Contact Last Name*

Last Name

Emergency Contact Phone Number*

Phone Number

Emergency Contact Email address*

Email address

Training Class Selection*

Purchase 3 One on One Training Sessions ($240)

Purchase 5 One on One Training Sessions ($400)

Purchase 10 One on One Training Sessions ($760)

Total

Coupon

Credit Card*