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PLEASE FILL OUT YOUR PROFILE BELOW!
IMPORTANT!
THIS FORM REQUESTS PERSONAL AND SENSITIVE DATA. YOU MUST BE OVER THE AGE OF 13 OR HAVE PARENTAL CONSENT TO CONTINUE.

If you are under 13, you will need a parent signature in order to continue.

ARE YOU OVER THE AGE OF 13 TODAY?
DOES THE PARENT/GUARDIAN CONSENT TO YOUR PARTICIPATION?
Personal Info

MY NICKNAME

What your friends and family call you.

STATE

What state do you reside and play ball in?

PHENOM JERSEY #

Your # here.

Phenom ALL STAR Jersey #

Your # here.

YEARS ATTENDED

Select the years below

EMAIL ADDRESS *

Your email adress here.

MY INSTAGRAM LINK

Your Instagram URL link here.

MINI-BIO

Why do you play basketball?

Parent Information

PARENT NAME

A parent full name here

PARENT OR GUARDIAN

PARENT PHONE #

A parent phone number here.

PARENT EMAIL

A parent email address here.

PARENT / GUARDIAN SIGNATURE

DISREGARD IF YOU ARE OVER 13 YEARS OLD.

PRIMARY PROFILE PHOTO

Must be .png, .jpeg, .jpg. Max: 25MB

Upload Photo
image upload field

UPLOAD VIDEO HIGHLIGHT REEL HERE

Upload 1 video in .mp4 format. Max: 15MB each video.

Upload Video

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