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Middle School Dances
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Overview
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Our Sports
Basketball
Middle School Basketball
Pre-School Basketball
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Terre Haute Boys & Girls Club Tackle Football League
Volleyball
Volunteer Coach
Programs
Membership
Program Information
Membership
Sports Registration
Spring/Summer Programs
Fall Programs
After School
Summer Programs
Resources
Donate - How To Help
The Blue Door Project
Donate
Fundraising Events
Golf Outing Registration 2025
Golf Ball Drop 2025
Jersey Mike's Fundraiser 2025
Donations
Volunteer
Sponsor
Background Check
About Us
History
Staff & Board of Directors
Frequent Questions
Careers
Contact Us
Scholarship
News & Events
Newsroom
Calendar
Newsletter
Photo Gallery
Join Our Mailing List
Important Links
Middle School Dances
Our Sports
Overview
Membership
Our Sports
Basketball
Middle School Basketball
Pre-School Basketball
Flag Football
Terre Haute Boys & Girls Club Tackle Football League
Volleyball
Volunteer Coach
Name
First Name *
Last Name *
j1fni3mp7875
Address
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Phone (Required)
Grade (Required)
Grade (Required)
-----
PS
K
1
2
3
4
5
6
7
8
Gender (Required)
Gender (Required)
-----
Male
Female
School (Required)
Age (Required)
Shirt Size (Required)
Shirt Size (Required)
-----
YXS
YS
YM
YL
AS
AM
AL
AXL
Guardian
First Name *
Last Name *
Guardian Phone (Required)
Guardian Email (Required)
Would You Like To Coach (Required)
Would You Like To Coach (Required)
-----
Yes
No
Coach Request (Will try to honor)
Medical Condition (Required)
Medical Condition (Required)
-----
Yes
No
Please explain Medical Condition
Electronic Signature of Parent or Guardian (Required)
Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Month
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
/
Year
Email Address for Confirmation of Submission (Required)
Online Basketball Program Cost
50.00
Your total payment will be
per month until you cancel the recurring agreement.
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged
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