Above the Rim Basketball
"Hoops With Heaven In View"

Registration Form

Last Name of Child:        

First Name of Child:   

Boy:         Girl:

Age:        School Attending:

Parent(s) Name:      

Address:  

City:        State:       Zip: 

Home Phone:          Cell Phone: 

Additional Phone:  

E-mail: 

Child's Shirt Size:     YS      YM       YL      AS       AM       AL

Number of years your child has played Basketball.  

Are you currently attending church on a regular basis?   Yes         No

Comments:  Please include any other information you think we may need.

Thank You.

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