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3059 Ridon Court Bethlehem, PA 18020
Sponsored by the Lehigh Valley AAU Basketball Association

Lehigh Valley AAU
Director - Larry Weber (610) 867-9282

Lehigh Valley AAU

Basketball Association

Skills & Drills Registration Form

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NAME _____________________________                                             Phone No:_____________

ADDRESS __________________________                                             County:_______________

CITY/STATE _______________________                                             Zip Code:_____________

PARENTS E-Mail Address __________________________________________

ATHLETES E-Mail Address _________________________________________

SCHOOL Team ______________________                                             Grade:________________

BIRTHDATE ________________________                                             Age on 1/1/2007_______

HEIGHT ___________________________                                              Adult Shirt Size:_____

AAU CARD# ________________________                                             Adult Short Size:_____

MOTHER'S NAME ____________________                                            Phone #:______________

FATHER'S NAME ____________________                                             Phone #:______________

EMERGENCY NAME ___________________                                         Emergency #:__________
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AAU Adminsitrative Office Information