Online Registration
First Name
Last Name
Mailing Address
City
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Anchorage
Big Lake
Houston
Palmer
Sutton
Wasilla
Willow
Other
Zip Code
Email Address
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Home Phone
Dad's Name
Cell Phone
Mom's Name
School
Select School
Colony High School
Colony Middle
Elementary School
Glacier View
Houston High School
Houston Middle
Palmer High School
Palmer Jr. Middle
Teeland Middle
Wasilla High School
Wasilla Middle School
Other
Will you play school basketball this year?
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Yes
No
Grade
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4
5
6
7
8
9
10
11
12
Post High School
Will you play on a club basketball team during this season?
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Yes
No
Birthday
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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29
30
31
Year
1993
1994
1995
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1997
1998
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2000
Current Age
Select Age
going on 10
10
11
12
13
14
Other
Sweatshirt Size
N/A
Youth Large
Adult Small
Adult Medium
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Adult X Large
Adult XX Large
Name on Sweatshirt (Maximum of 15 characters and spaces.)