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*
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Last
Highest Level of Basketball
*
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Recreation Basketball
Travel Basketball
Middle School Team
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Player Birth Date
*
MM
1
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4
5
6
7
8
9
10
11
12
DD
1
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31
YYYY
2025
2024
2023
2022
2021
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2019
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2015
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2012
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1929
1928
1927
1926
1925
1924
1923
1922
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1920
Current School Grade
*
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Email
*
Phone Number
*
Parent's Name
*
First
Last
If under 18 years of age
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