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.