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All male and female student-athletes from their freshman to their senior year in high school throughout the United States are eligible to participate in this program. Please complete each section of the form. Upon completion of this form, individuals who DO NOT reside within the state of Arizona will be asked to make a donation to
LIVE HOOPS
.
Personal Information
First Name:
Last Name:
Parent Name::
Street Address:
City:
Zip:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Email:
Phone:
Cell:
Grade:
9
10
11
12
School Information
Year in School:
Freshmen/HighSchool
Sophomore/HighSchool
Junior/HighSchool
Senior/HighSchool
School Name:
School City:
School State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Height :
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6'0
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
6'10
6'11
7'0
7'1
7'2
7'3
7'4
7'5
7'6
7'7
7'8
7'9
7'10
7'11
8'0
Weight:
GPA:
Sat/Act Scores:
User Information
User Name:
Password:
Confirm Password:
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