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Hub City Showcase -Form Fill

Section One
Q1

Class

Q2

First

Q3

Last

Q4

Primary

Q5

Secondary

Q6

B/T

Q7

GPA

Q8

School

Q9

College

Q10

Height

Q11

Weight

Q12

Player Phone

Q13

Player Email

Q14

Father's Name

First Name

Q15

Father's Name

Last Name

Q16

Father Phone

Q17

Father Email

Q18

Mother's name

First Name

Q19

Mother's name

Last Name

Q20

Mother Phone

Q21

Mother Email

Q22

Twitter

Q23

Instagram

Q24

I have read and accept the terms and conditions of the Waiver of Liability Form above:

Q25

Sign to accept terms and conditions of the Waiver of Liability Form presented above.

Q26

Pay Now To Register

Player Registration$200.00