Registration

Player's First Name *

Player's Last Name *

Date of Birth *

School *

Grade *

Player's Phone

Player's Email Address *

Address

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone *

Parent/Guardian Email *

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Phone

Parent/Guardian Email 2

In an emergency, when parents cannot be reached, please contact:

Contact First Name *

Contact Last Name *

Contact Relationship to Player *

Contact Phone *

Registration Fee: *

Full Season – $950

Mini Season – $475

Practice Player – $475

Tryouts – $20

Boot Camp 1 – $100

Boot Camp 2 – $100

Boot Camp 1 and 2 – $200

Select Payment Method

Pay with Credit Card (Paypal)

Via Check or Invoice

Mail check to:
Bradley Basketball Academy
110 North. IH-35 Ste. 315-180
Round Rock, TX 78681