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Beyond Basketball

Preparing youth for when the ball stops bouncing

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Register for the Youth Summit!

April 15th from 10am - 4pm at the Chavis Center, for ages 11-18

First Name (of Parent, Guardian, Mentor, Coordinator)

Last Name (of Parent, Guardian, Mentor, Coordinator)

Email (of Parent, Guardian, Mentor, Coordinator)

Phone (of Parent, Guardian, Mentor, Coordinator)

Student First & Last Name

Student Full Date of Birth

Student Grade & School

Student Dietary Restrictions

Student Race

Student Sex

Student T-Shirt Size

3 topics of resources or tools you would like better information or access to for yourself and child/children

Please confirm your availability to drop off the student between 9:30am - 10am on Saturday, April 15, and pick up student promptly at 4pm.

Please confirm that all information input above is complete and accurate.

We will be in touch via phone and email soon!

©2020 Beyond Basketball, Inc.

Beyond Basketball, Inc. is a 501(c)(3) charitable organization, EIN 85-1483359. All contributions are tax deductible.

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info@beyondbasketball.co

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