Phalen Athletics 2023-2024
Thank you for taking the time to fill out this athletic form so we can acknowledge you and your scholars interest for the year. 

Coaches contact information:
Football Head Coach: David Hampton (dhampton@phalenacademies.org)
Boys Soccer Head Coach: Bruce Quilling (bquilling@phalenacademies.org)
Girls Soccer Head Coach: Mike Hannan (mhannan@phalenacademies.org)
Boys Basketball Head Coach: Coach Bird (bmanuel@phalenacademies.org)
Girls Basketball Head Coach: Coach Brewer (kbrewer@phalenacademies.org)
School Phone Number: 317-552-1600
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What is your (scholars) first and last name?  *
What is your (Parent/Guardians) first and last name?  *
What is your Parent/Guardians phone number?  *
What is your Parent/Guardians email address?  *
What is your scholar email address?  *
What is your home address *
What grade are you currently in?  *
What sport are you interested in playing? (Check all that apply) *
Required
What is your last coaches phone number? 
What is your last coaches email 
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