Online Registration

Fall 2009 On line Registration

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October 4, 2009
Fall Premier Showcase
Online Registration
2-9PM Loyola College
4501 N. Charles St. Baltimore, MD

Please complete this online registration form and click "Submit" for PayPal payment. We must receive payment prior to the event so make sure you complete the PayPal link that is connected to this form. If you prefer mail-in registration, print out a copy of our brochure and and use the mail in panel.

Thank you

Cost:
APPLICATION	Please enroll the applicant. The applicant is represented in good health and able to participate in physical activity. The showcase has permission to provide emergency medical care in the event of injury. I understand that the showcase presented by Hoop Mountain Metro-Atlantic Girls has the right to use, for publicity and advertising purposes, all photos and videos of participants during the showcase.
Player Full Name: *
Street Address *
City and State *
Zip Code: *	(5 digits)
Player Email:
Parent or Guardian Full Name: *
Street Address: *
City and State: *
Zip Code: *
Parent Email:
Daytime Phone: *
Evening Phone: *
High School and Graduation year: *
GPA: *
SAT ( Math and Verbal only):
PSAT:
High School Coach and Email:
AAU Team and Coach Name:
AAU Coach Email:
Height and Position: *
Health Insurance:
Policy #: