2022 USS Registration Form
TEAM UNDERRATED BASKETBALL ACADEMY
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Email *
Name of person paying registration fee (i.e. parent or guardian) *
Phone# of person paying registration fee (i.e. parent or guardian) *
PARTICIPANT INFORMATION
Participant's Name *
Address *
Apt. #
City *
State *
Zip *
Telephone *
Cell
Date of Birth *
MM
/
DD
/
YYYY
E-mail *
Height *
Weight *
Position *
High School
Year Graduated
If not a HS graduate, provide status (expected graduation date or GED status):
Latest SAT / ACT Score
Grade Point Avg
Have you ever attended a college?  If so, please provide names and years attended
Last school team you played for
Year
School Coach Name
Coach Phone
Scoring Average
Rebound Average
Assists Average
AAU Team
AAU Coach
AAU Coach Phone
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