Coach Walsh Basketball Information for Camps/Clinics/Leagues

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Hello my name is Coach Mark Walsh. I am the Boys Basketball Coach at Seton La Salle Catholic HS. Thank you for filling out the information requested below. I will use this information to send you details concerning basketball programs that I offer for basketball players in grades Pre K-8th grade.

Player Last Name *

Player First Name *

Gender *

Please click on the arrow to change the gender selection.

Grade your child is in as of todays date? *

Parent Email Address *

Please enter the email address where you would like basketball info sent.

Mother/Guardian First and Last Name *

Mother/Guardian Cell Number *

Father/Guardian First and Last Name *

Father/Guardian Cell Phone Number *

Street Address *

City *

Zip Code *

School *

Please list the school or school district your child attends.

Would you like to register another child? *

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