Player Bio Form

Program Registration

Registration Type: *

Prospect Camp

Elite 1's League

Player Information

First Name: *

Last Name: *

Country of Birth: *

Date of Birth: *

Mailing Address (No P.O. Box): *

E-mail Address(Must Be Valid): *

Contact Phone Number 1: *

Contact Phone Number 2:

Health Card/Health Insurance Number:

Height: *

Weight: *

School Name & Playing Infomation

High School Name: *

High School Coach: *

High School Graduation Year: *

Club/AAU Team:

Club/AAU Coach:

College/University:

Pro Team:

Individual Awards:

(separate with comma)

Season Stats Per Game

Points: *

Assists: *

Rebounds: *

Blocks: *

Steals: *

Uniform Information

Jersey Size: *

Shorts Size: *

Shoe Size: *

Parent/Guardian Information

First Name:

Last Name:

E-mail Address(Must Be Valid):

Contact Phone Number 1:

Contact Phone Number 2:

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