NC-SC All-Star Mens Basketball Acceptance Form | North Carolina Coaches Association: Online Forms

SCHOOL INFORMATION

School*

School Address*

Street Address City State ZIP Code

Athletic Director Name*

First Last

Athletic Director Email*

School Phone*

COACH INFORMATION

Head Coach Name*

First Last

Address*

Street Address City State ZIP Code

Home Phone (including area code)*

Cell Phone (including area code)*

Head Coach Email*

Preferred form of communication?*

Text
Email

PLAYER INFORMATION

Player's Name*

First Last

Email*

Address*

Street Address City State ZIP Code

Home Phone (including area code)*

Cell Phone (including area code)*

Height*

Weight*

College you will be attending?*

Enter undecided if you have not selected a school yet

Favorite Subject*

Favorite Athlete*

Twitter Handle

Instagram Handle

Parent-Guardian Name*

First Last

Parent Email*

Parent's Cell

Parent-Guardian Name 2

First Last

Parent Email 2

Parent's Cell 2

Player Color Photo

Please upload a color photo!

Max. file size: 12 MB.

Player Color Photo

Please email a quality photo of at least 200 KB (preferably like a yearbook formal) to eastwestprogram@gmail.com.

UNIFORM SIZE

T-Shirt Size*

Jersey Size*

Shorts Size*

STATISTICS (this season)

List (Game Averages)*

Points	Assists	Rebounds	Steals	Blocks	Field Goal %	Free Throw %	3-Pt Field Goal %

Media Grant of Rights*

I hereby grant to the North Carolina Coaches Association and their legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs and video of me, or in which I may be included, for all media and any other purpose and in any matter and medium; to alter the same without restriction; and to copyright the same. I hereby release the North Carolina Coaches Association and their legal representatives and assigns from all claims and liability relating to said photographs and video.

I have read the above statement and agree with it's provisions.

ATTESTATION

Submitter's Name*

First Last

ATTESTATION*

I attest that the above information is true and accurate.

Player Signature*

Coach Signature