Nike Basketball Academy High School Girls

NIKE BASKETBALL ACADEMY
REGISTRATION
HIGH SCHOOL GIRLS

Portland, Oregon August 4 - 9, 2024

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STEP 1: Please fill out the form below.
STEP 2: When the form has been submitted, you will be redirected to download, sign, and send us a waiver.
If you have any questions, please email info@playbookgrp.com

Athlete Name

Include first and middle name

First Name

Last Name

Athlete Home State

Athlete Date of Birth

YYYY

Athlete Age

Athlete Mobile Number

(###)

###

####

Athlete Email

Departure Airport

Return Airport

Seat Preference

Athlete Height

Athlete Weight

Athlete Graduation Class

Athlete School Name

Coach Name

Include first and middle name

First Name

Last Name

Coach Mobile Number

(###)

###

####

Athlete Top Size

Athlete Bottom Size

Athlete Shoe Size

Guardian Name

Include first and middle name

First Name

Last Name

Guardian Phone Number

(###)

###

####

Guardian Email

Emergency Contact Name

First Name

Last Name

Emergency Phone Contact

(###)

###

####

Emergency Contact Email

Insurance Provider

Policy Number

Athlete Allergies

If none, please type N/A

Athlete Medical Conditions

If none, please type N/A

Athlete Medications

If none, please type N/A

Any other information we should be aware of

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NIKE BASKETBALL ACADEMYREGISTRATIONHIGH SCHOOL GIRLS

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NIKE BASKETBALL ACADEMY
REGISTRATION
HIGH SCHOOL GIRLS