Please submit this form to register your student athlete for our basketball training program.

This form captures your payment information but payment will not be taken until the 15th. By submitting this form you agree to your payment being automatically withdrawn on the 15th of April.

Parent Information

Parent's Name

Email *

Phone *

Athlete Information

Athlete's Name *

Athletes Age *

Payment Information

Card Number *

Card Expiration *

CVC *

Postal code *

100% secure & safe payments

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.