Training Registration

Player Name *

First

*

Last

Training Type

Genesis Basketball Academy Member

Yes

No

Player Gender

Male

Female

Players Grade

Players Skill Level

Parent/Guardian Name *

First

*

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How did you hear about this event?

Friend or colleague

Social Media

OtherOther

Please select the date you are registering for:

Are you interested in receiving additional information about Genesis Club teams and other trainings?

Yes

No

Referred By: