Player's Name *

First Name

Last Name

Player's Contact Phone *

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Which Ambassador level are you applying for? *

Youth (5th-8th grade)

High School (9th-12th grade)

College

What is your current basketball skill level? *

Beginner

Intermediate

Advanced

How many years have you played organized basketball? *

Less than 2 years

3-5 years

6-9 years

10+ years

Do you have any basketball coaching experience? *

None

Some

A lot

Parent/Guarding Name (if under 18 years old)

First Name

Last Name

Parent/Guardian Contact (if under 18 years old)

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