Enrollment Application - Empower ME Academy | Basketball Skill & Leadership Development

Intro Text

Please take a moment to complete our enrollment form below and a member of the EMA Support Team will respond to you as soon as possible.

Answer the following questions honestly and completely. There is no right answer to many of these questions. We simply want to learn about you, as an individual and player.

Parent/Guardian Name *

Email *

Phone Number *

Name of Student *

Date of Birth *

What grade are you in? *

Which school do you attend? *

How did you hear about us? *

Will you be training with a sibling or friend? *

Divider

Identify your strongest basketball skill. *

Identify your weakest basketball skill. *

What motivates you? *

How do you react when making mistakes? *

Positive - Because I learn from them
I try to avoid them
Negative - Disappointed in myself

How many times do you practice each week? *

1 time a week
2 times a week
3 or more times a week

If time and money weren’t an issue, how often would you train with EMA? *

1 time a week
2 times a week
3 or more times a week

Divider

HTML

Empower ME Academy believes in the
USA Basketball Player Development Curriculum.

Which is more important? *

Training
Playing games
Both, with the right balance

How would you rate your physical condition? *

Who is your favorite basketball player and why? *

Define your short-term basketball goal(s) *

Define your long-term basketball goal(s) *

What do you hope to accomplish at Empower ME Academy? *

Identify someone you consider a great leader and why? *

Divider

HTML

You are almost done! Please click the button below to submit and we’ll reach out to you shortly when approved.

would LOVE to learn more

Welcome to where top-class leadership development and high-level basketball teaching meet. We prepare your child (our students) for a lifetime of success and contribution after sports.

SIGN UP FOR OUR NEWSLETTER

SUPPORT YOUR FUTURE LEADERS!

From the very first day EMA started its operations,the organization has prioritized access and inclusion.

would LOVE to
learn more