THE PLAYERS CLUB APPLICATION

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone #

Player First Name

Player Last Name

Player Date of Birth

Month

Day

Year

Current Club and Team Name

Why are you interested in Nonpareil Basketball's Member Program?

Please share your player's 2-3 strengths on the court.

Please share 2-3 areas you'd like to see your player improve in.

Please describe your player's temperament toward coaching, winning/losing, how they response to challenge, respect and sportsmanship, etc.

Does your child have any health conditions, allergies, or medical history that we should be aware of?

Dominant Hand

Right

Left

Ambidextrous

By checking this box, I acknowledge that I have read and agree to Nonpareil Basketball Terms and Conditions.

Confirm with your initials