Player Information Form

Fill out the PLAYER INFORMATION FORM listed below

NOTE: This form is only for players that have been selected to play on the team.

Full Name*

Address*

City, State, Zip*

Phone Number*

Email Address*

Gender*


MaleFemale

Age*

Grade*

Parent's Names

Parent Telephone Number

Parent E-mail Address

Uniform Jersey Size

Uniform Shorts Size

Comments/Questions

SPRING/SUMMER BASKETBALL SEASON
$400.00

Make checks payable to:

ATHLETIC FACTORY, INC.

FALL/WINTER BASKETBALL SEASON
$225.00 (includes uniform)

Make checks payable to:

ATHLETIC FACTORY, INC.

FALL/WINTER BASKETBALL SEASON
$100.00 (without uniform)

Make checks payable to:

ATHLETIC FACTORY, INC.