Registration

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Name*
First Last
Email*
Username
Additional Info
Address*
Street Address Address Line 2 City State ZIP Code
Phone
School Information
High School where you coach (If applicable)
College where you coach (If applicable)
School (Write in if not found above)
Coaching Information
Coaching Level*
- Boys HS Head Varsity Coach
- Girls HS Head Varsity Coach
- Men’s College Head Coach
- Women’s College Head Coach
- Athletic Director
- Other Boys/Girls/Men’s/Women’s Coaches (actively coaching in the current season)
- All OTHERS including Retired Coaches, Officials, and Coaches not currently coaching during current basketball season
Basketball Division
Number of Head Varsity Wins
If you have already received a certificate or plaque for your wins, please leave this blank.
Number of Non-Varsity Wins

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