Basketball Sign Up

Please fill out the information below so we can sign you up and send you the official program materials

YOUR INFORMATION

First Name*

Your School/Organization

Last Name*

Street Address

Phone*

City

Your Email*

State

Zip

Your League/Conference Name

Please select your preferred charitable cause

Please select your preferred participation date

What date would you like to shoot free throws?

Your Position (check all that apply)

Your Organization Type

Levels/Gender Participating (please check all that apply)

BOYS

GIRLS

Participation Player Count and Date

Estimated total number of players/people participating from your school/organization (Please be sure to include all players from your boys and girls teams, all grade levels.)

Optional: Can you please indicate the names and e-mail addresses of the other coaches in your program?

Please enter the following text in the box below (case sensitive): *
captcha