Wheelchair Basketball

Youth Wheelchair Basketball

Sign up for wheelchair basketball today! This program is designed for youths ages 5 - 21 with a lower-body disability. You must be able to push yourself in a wheelchair, but do not need to use everyday chair.

* First name

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* Last name

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* Email

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* Phone number

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* Address

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* City

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* Country

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* State/Province

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* ZIP/Postal

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* Birthyear

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Parent/guardian name (if applicable)

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* Emergency contact and phone number

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Additional parent name and phone number

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* Please tell us about your/your child's disability

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Any additional info you wish to share with us

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Adaptive Sports New England | 89 South St Suite 603 | Boston, MA 02111 US

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