West Shore Basketball Club Assessment

Athletes Name:
Age:
DOB (mm/dd/yy):
Address:
Parent(s) / Legal Guardian Name:
Home Phone:
-
Cell Phone:
-
Parents E-mail:
Emergency Contact:
Emergency Contact Phone:
-

Select Time:

After completing this form, you will be redirected to our Release of Liability Form. Please print and sign, and bring in with your child on the first day of camp. Thank you!