Basketball Participation Survey
Please complete this form if anyone in your household is planning to participate in the basketball program this year.  We will use this information to base team/schedule decisions.  Forms need to be completed and returned no later than November 8th.  
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Parent Name *
Email address *
Phone Number *
Who in your household would like to play basketball and what is their grade level?  Please list all participants. *
Are you interested in coaching? *
Are you interested in being a referee? *
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