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* 10Mb 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)