Showcase Registration

Maximum Exposure Basketball

Showcase Registration Form

Online Registration Form

*** There is a $3.00 processing fee for all credit card payments ***

Name:

Mailing Address:

City:

State:

ZIP Code:

Home Phone:

Cell Phone:

Email:

Date of Birth:

Height:

Weight:

Position:

School Attended (2011-12):

School Attending (2012-13):

Referred by:

Points per game:

Rebounds per game:

Assists per game:

Steals per game:

Blocked Shots per game:

Honors Received / Other Information:

Coach's Name:

Coach's Phone Number:

Being recruited by:

Class (2011-2012 School Year):

GPA:

SAT / ACT:

Credits Earned:

Showcase Attending:

Type of Credit Card:

Credit Card Number (No Spaces):

Expiration Month:

Expiration Year:

Email (for receipt):

Please make sure all information is filled out, and the correct credit card information is provided. If the information isn't correct your registration will not be processed. You will receive a confirmation email within 48 hours of registration. Please note, there is a $3.00 processing fee for all credit card payments.

TEAM REGISTRATION FORM

Team Name:

Type of Team:

Head Coach:

Mailing Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email Address:

Boys or Girls Team?:

Event Attending::

Type of Credit Card:

Card Number:

Expiration Month:

Expiration Year:

Email Address (for receipt):

Team Registration fee is $350.00. Please make sure all information is filled out, and the correct credit card information is provided. If the information isn't correct your registration will not be processed. You will receive a confirmation email within 48 hours of registration. Please note, there is a $3.00 processing fee for each credit card payment.