DC Sentinels Membership/Contact Application Online
Personal Information
Full name:
Please enter name		 Address:
Please enter address .		 City:
Please enter city.		 State:
Zip code:
Please enter zip code.
Homephone:
 CellPhone:
 Cellphone Carrier

(Fill in if select 'Other')		 Date of Birth:
Please enter date of birth.		 Email:
A value is required.Please enter email address.
General Interest
Skill Level:
Please select an item.		 Preferred Open Gym:
(i.e Sunday after 3)
Preferred Practice:
(i.e Sunday after 3)
Comments:
(additional information)

  
Basketball Play Preference:
Local League Open Gym Tournaments
(Check all that apply)		 Can photographs be put in advertisements/website ?

 Medical Condition:(optional)
(in case of injury) 		 
Emergency Contact
Name:
 Address:
 City:
 Email:

  
State:
 Zip code:
 Emergency phone number:
 Relationship:
  

   
 
Must be 18 years of age or over
                 Must be registered with NGBA to participate in all tournaments