Student Athlete Information – UP and Over LLC.

REGISTRATION

Student Athelete Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please enter your AAU number here

Phone(Required)

Email(Required)

Age(Required)

Date of Birth(Required)

Grade in School(Required)

School(Required)

Parent/Guardian(Required)

First Last

Parent/Guardian Phone(Required)

Parent/Guardian Email(Required)

Signature(Required)

By signing your name here, you give permission for the aforementioned athlete to participate in BEEEactivities and/or events.

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