UNBC Basketball Prospect Form Name * Citizenship * Address * City * Prov/State * Country * Postal Code * Email * Phone Number * Gender * - Select -FemaleMale Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019 Name of Guardian/Parent * Leave this field blank