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International Basketball Association Registration
Registration Form

All members are entitled to one assessment program from our Self Management Group

* Name:  
* Age:  
* Height:  
* E-mail Address:  
* Telephone:  
* School Attended:  
Degree earned:  
* Credits earned:  
* Name of Head Coach:  
* Career plans after basketball:  
* What IBA Self -Management assessment
  program did you choose?
 
* Did you complete the assessment?    YES     NO
* Did you meet/speak with your mentor?    YES     NO
 
Registration Fee:   $145.00US
* Payment Options     Master Card Visa
* Denotes required fields  
 
 
International Basketball Association with Self Management Group accepts Master Card and VISA