Hartford Basketball Club 2021 Summer Registration

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Completion of this form registers the athlete below for the Hartford Basketball Club summer 2021 skills sessions. Cost of summer program is $60 with payment due at first skill session. Program will be conducted on Sunday evenings on the following dates: June 13th, 20th, 27th, July 11th, 18th, 25th. Exact times for each age group will be communicated at a later date.

Athlete's First Name *

Athlete's Last Name *

Gender *

Male

Female

Grade (Fall) *

School *

Date of Birth *

YYYY

Primary Contact Email *

Secondary Contact Email

Primary Contact Phone Number *

Secondary Contact Phone Number

Home Address *

City *

Zip *

Shirt Size *

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