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NORTHSTAR BASKETBALL TEAM PLAY WINTER 2022-'23 REGISTRATION FORM
LOMBARDO HOMES ALL AMERICAN ATHLETE CHILDREN'S CENTER
2420 HOPEWELL RD. WENTZVILLE MO. 63385
northstarbasketball@hotmail.com
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Player Registration Form
Parent or Guardian must fill out this form using their information, one for each player.
PLAYER NAME
*
Your answer
Gender
*
Female
Male
2022-2023 BASKETBALL SESSION ACTUAL SESSION START DATES TO BE FINALIZED ONCE REGISTRATION IS CLOSED
*
WINTER 2022/2023 "NOVEMBER-FEBRUARY"
Other:
Required
Current Grade Level
*
3rd Grade (Players could be asked to play 4th Grade if a team does not form).
4th
5th
6th
7th
8th
HS
Legal Guardian 1 First Name
*
Your answer
Legal Guardian 1 Last Name
*
Your answer
Legal Guardian 1 Email
*
Your answer
Legal Guardian 1 Cell #
*
Your answer
Legal Guardian 2 First Name
*
Your answer
Legal Guardian 2 Last Name
*
Your answer
Legal Guardian 2 Email
*
Your answer
Legal Guardian 2 Cell #
*
Your answer
RETURNING PLAYERS / TRAINING (Returning players need not fill out a new waiver form)
*
Yes
No
Required
I understand that I will have to fill out a waiver form before my son or daughter will be allowed to participate. Link to waiver:
http://allamericanathleteinc.com/wp-content/uploads/2021/02/Hold-Harmless-Waiver_2021.pdf
*
Yes
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