High School Boys Basketball for 2024-2025

Registration Form

Player's Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact Name(Required)

Emergency Contact Phone Number(Required)

School(Required)

Enter School Name(Required)

Grade(Required)

Height(Required)

Jersey Size(Required)

Position you feel most comfortable playing(Required)

Payment

Price:

Total

Coupon

Credit Card(Required)

Card Details

Cardholder Name

Comments

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For the offline registration form please contact akrupp@upwardcommunitychicago.org