Southern HoopsSouthern Hoops

Girls' Basketball Report & Scouting Service

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Regional Coverage of Middle/High School

and AAU Girls' Basketball Games

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2nd Annual Skills & Evaluation Camp - 2014

 

 

Please be sure to fill out the shipping information and contact Email for our records.  If you are paying for more than one player, please make separate payments for each player.
 

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Pay by Secure PayPal®

Player's Name

 

 

REGISTER

(Please email the following information to: )

 

Last Name:

First Name:

Address:

City:

State:

Zip Code:

School Attending:

Grade:

Age:

Date of Birth:

Shirt Size (Adult): Choose from S, M, L, XL, 2XL or 3XL

Does this child have any disabilities, handicaps, present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness or any other significant medical condition? Yes or No.

If yes, please describe condition(s):

Father and/or Mother or Legal Guardian:
Second Name (Optional):
Contact Phone Number(s):

 


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