First Name *

Last Name *

Phone *

Email *

Player First Name *

Player Last Name *

Player's Grade *

Parent’s Primary Concern *

Player Goals *

Assessment Notes

Injury or Limitation *

Yes

Does your player currently have an injury, medical condition or physical limitation that could affect participation?

Injury or Limitation Details

Parent / Guardian Authorization *

Yes

I confirm that I am the player’s parent or legal guardian, or that I have authorization from the parent or legal guardian to request this Complimentary Player Development Assessment.

Operation SMS Consent

Yes

I agree to receive non-marketing text messages from Born 2 Hoop concerning my request, scheduling, appointment reminders and service-related updates. Message frequency may vary. Message and data rates may apply. Reply HELP for assistance or STOP to opt out.

Marketing SMS Consent

Yes

I agree to receive recurring marketing and promotional text messages from Born 2 Hoop, including program announcements, registration opportunities and special offers. Consent is not a condition of purchase. Message frequency may vary. Message and data rates may apply. Reply HELP for assistance or STOP to opt out.