Nike Basketball Academy College Boys

NIKE BASKETBALL ACADEMY
STAFF REGISTRATION

Portland, Oregon August 4 - 9, 2024

STAFF SIGN UP

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

Full Name

Include first and middle name

First Name

Last Name

Hometown

Home State

Date of birth (DOB)

YYYY

Age

Mobile Number

(###)

###

####

Departure Airport

Return Airport

Seat Preference

Top Size

Bottom Size

Shoe Size

Emergency Contact Name

First Name

Last Name

Emergency Phone Contact

(###)

###

####

Emergency Contact Email

Insurance Provider

Policy Number

Allergies

If none, please type N/A

Medical Conditions

If none, please type N/A

Medications

If none, please type N/A

Any other information we should be aware of

If so, please let us know below. Otherwise, leave it blank.

NIKE BASKETBALL ACADEMYSTAFF REGISTRATION

STAFF SIGN UP

NIKE BASKETBALL ACADEMY
STAFF REGISTRATION