2009 Midwest Juco SuperStar Showcase Mail-In Registration Form


Complete The Registration Form Below To Register via the Mail with a Check or Money Order.

Chicago Hoops
28 East Jackson
#1020
Chicago, Illinois 60604



A confirmation will be sent upon receipt of your registration materials.


Name


Email Address


Class (Freshman or Sophomore)


Junior College


Height


Weight


Position(s)




Street Address


City


State


Zip Code


Phone Number


Date of Birth


Parent(s) Name(s)