2009 X Factor Recruit Sign-up

Thank you so much for your interest in the X Factor. Because we have teams forming year round it's never too late to participate. Simply fill out the following form and a member of our coaching staff we'll get back with you as soon as possible.

(Team formation is dependent upon coaching availability. So if you know anyone or you're interested in coaching please contact us as well.)

Click here to print out Recruit Information in PDF form

First Name:
Last Name:
Address:
City:      State:   Zip:
Home Phone: - -  
Email:
School:  
Grade:   Gender:
Date of Birth:   Height: Ft Inches
Weight:
Played competitive basketball before?  
What Teams?
Parent (S) Mother's Name:
Contact #:  - -
Father's Name: 
Contact #:   - -
Best time to call:    Parent to Contact:

In addition to $30 per month per player dues will you be able to contribute a minimum of 1/14 of the cost of league, tournament and travel expenses for your team? (This cost is determined by cost of activity divided by 8 to 12 players and 2 coaches. So amounts may vary.