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Player General Information

Player Name

Player DOB

Player Height (Feet, Inches)

Player Weight (Lbs)

Player Cell Phone Number

Player E-Mail Address

Player School

Player Home Address 1

Player Home Address 2

Player City

Player State

Player Zip Code

Parent General Information:

Player Parent 1 Name

Player Parent 1 Cell Phone

Player Parent 1 E-Mail Address

Player Parent 2 Name

Player Parent 2 Cell Phone

Player Parent 2 E-Mail Address

Player Basketball Information and Survey:

Player Dominant Hand

Player Strengths

Player Areas For Improvement

Player Points Per Game Average

Player Rebounds Per Game Average

Player Assister Per Game Average

Player Prior Club/Travel Travel Teams

Player, What Do We Need To Know About You?