Email*
Name
Phone Number
High School
Position Played
High School Basketball Coach
Father's/Mother's Name
Your Mailing Address
Statistics (Averages, Records, Etc.)
Most Recent Grade Point Average
Letters Won In Basketball & Other Sports
Hobbies
Do you plan to attend college? YesNoMaybe
If Yes......Where do you plan to attend and what will you study?
Sweatshirt Size XSSMLXLXXL
Athlete Photo Upload 15Mb max file size Signed Physical Form 5Mb max file size Parent Player Agreement Form 5Mb max file size Payment Options - $200 Venmo @Midland-Roundtable-1Credit Card - Call 406.672.3576 to make paymentMail Check(s) to Midland Roundtable Po Box 248 Billings, MT 59103 List sponsor and amount as you would like to see them in the program. (Optional)
