Athlete Sign-up Form

Athlete's Name *

First

Last

Birth Date *

Grade *

Parent/Guardian Email *

Parent/Guardian Name *

First

Last

Parent/Guardian Address *

Parent/Guardian Phone Number *

My athlete plans on participating in the following activities. (choose boxes for all that apply) *

Payment Method (choose one from dropdown) *

Release *

We release Noblesville Schools and Noblesville High School Boys' Basketball staff to treat the above student in case of injury and do hereby assume the risk.

Miller Basketball Academy