*Guardian Name First and Last
*Participant Name First and Last
*Gender Male/Female
Home Phone
Work
Mobile
Emergency Contact Name and phone number
Home Address
City
State
Zip/Postal
*Participant Date of Birth i.e. 06/21/1994
Email Please provide a valid email for updates on all BUA activities, events and information.
Who Referred You?
*Height
*Position Please provide a position as accurate as possible. Players will be placed on teams based on position, height, age and experience. PG, SG, F, PF, C
*Division Divisions are Varsity, Junior Varsity, Jr. High, and 5th/6th Grade
What is your skill level Advanced, beginner, etc...
AAU Sponsor Affiliation?
Comments and Questions
*Required
