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epiqfacilityllc@gmail.com

(225) 620-4375

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Your Training Professional

2024-2025 e.p.I.Q Basketball Sign- Up

First name*

Last name*

Email*

Phone

How old is applicant?

6

7

8

9

10

11

12

13

14

What is the applicants current grade level?

1st

2nd

3rd

4th

5th

6th

7th

8th

What school does the applicant attend?

Please tell us your basketball experience. Did you play for any team the previous basketball season? Do you train?

Sign-up doesn't guarantee a roster spot in the program.

Individual Weekly Sessions

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Last name

Email*

Phone

Choice of Sessions

1 Session$40

2 Sessions$75

3 Sessions$100

4 Sessions$140

5 Sessions$175

(225) 620-4375

8844 Greenwell Springs Rd, Suite D
Baton Rouge, East Baton Rouge Parish 70814

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