Cosmic Basketball Signup
Hello!

Thank you for taking interest in Cosmic Basketball! 

Cosmic Basketball is a youth pickup basketball experience that’s organized to feel like a professional game. With refs, announcers, stat keepers, and a full live stream, kids get the thrill of playing in a real game setting while having trackable stats to help improve their skills. The goal is to create an immersive experience for young athletes, while also giving them an opportunity to grow their skills.

Please fill out the questions to the best of your ability.

In order to complete registration for your child, please complete the following: 
1. Complete the form below
2. Fill out our liability waiver (If you have done this at a previous clinic, you do NOT need to fill it out again.)
3. Submit Payment here

Once your registration is complete, I will reach out to confirm!

Best,

-Daniel Kantor
Phone: 818-606-7857
Email: coachdk@hardcourtdojo.com
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Child's Name
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Grade Your Child Is Currently In

3-4pm: 1st/2nd grade
4-5pm: 3rd/4th grade
5-6pm: 5th/6th grade
7-8pm: 7th/8th grade
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Guardian Name/Relation To Child
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Phone#
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Email
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What is the Best Method To Contact You?
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How did you hear about our program?
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What best describe your child's experience with basketball?
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Would You Like To Purchase a Cosmic Basketball Shirt?

*please purchase 1 shirt here*
*Link to purchase 2 shirts*
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If Yes, what size shirt would you like?
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How did you hear about Cosmic Basketball?
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