Athlete Registration Form

Parent / Guardian First name

Parent / Guardian Last name

Email

Phone

Choose Your Package

Athlete Information

First Name

Age

Birthday

Year

Month

Day

Gender (optional)

What is your athlete’s basketball experience level?

Never played organized basketball

Recreational / school team experience

Competitive club / rep team experience

Emergency Contact

Parent / Guardian First name

Parent / Guardian Last name

Emergency Contact

Terms & Conditions

I confirm that I have read and agree to the Pacific Edge Basketball Academy terms and conditions, including payment policies, participation requirements, and program guidelines.

Nutrition Disclaimer

I understand that nutrition information provided by Pacific Edge Basketball Academy is for general educational purposes only and does not replace advice from a qualified healthcare professional.

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