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Registration Form

Section 1: Student Information

Date of Birth
Month
Day
Year
Grade
Gender
T-Shirt Size
Multi-line address

Section 2: Parent / Guardian Information

Relationship to Child
Preferred Contact Method

Section 3: Emergency Contact

Relationship to Child

Section 4: Authorized Pick-Up

Relationship
Relationship
Relationship

Section 5: Program Section

Which semester are you registering for?
1st Semester: September 8 - December 15, 2026
2nd Semester: January 26 - May 4, 2027
Both Semesters

Section 6: Payment Preference Preview

Preferred Payment Option
Pay Per Session
Weekly Payment
Monthly Payment
Pay in Full

Section 7: Acknowledgment

I certify that the information provided is accurate to the best of my knowledge. I understand that additional required forms must be completed before my child may participate in Court to Character.

CONTACT US

NEXT 5 BASKETBALL ACADEMY

727.424.9639

INFO@NEXT5BASKETBALLACADEMY.COM

 HOURS

   MONDAY - FRIDAY

   9:00AM - 5:00PM

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