Student Athlete Registration
Event Timing: Wednesday’s in September
Event Address: 6701 Oaklandon Rd, Indianapolis, IN
Contact us at (765) 203-1698 or dw3elitebasketballllc@gmail.com
Email *
Player Name *
Address *
Date of Birth *
MM
/
DD
/
YYYY
Player Home Phone/ Cell Phone Number *
Email *
School *
What days will you attend? *
Required
Basketball Skill Level
Dribbling
Passing
Shooting
Cutting
Rebounding
Beginner
Intermediate
Advanced
Clear selection
Uniform Size:  Shooting Shirt, Jersey, Shorts *
Required
Do you have Health Insurance? *
Name of Physician/ Medical Care Facility (Hospital) *
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