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2024 Basketball Tryout Form - $20 ($25 at the door with parent)
ATHLETE INFORMATION
*
First Name:
*
Last Name:
*
Current School Attending:
*
Street:
*
City:
*
State:
*
Zip Code:
*
Player Cell #:
*
Home Phone:
*
Birthdate:
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*
Email:
*
Weight:
*
Height:
*
Gender:
M
F
*
Position:
Person who recruited you:
*
Grade:
7
8
9
10
(Parents and Guardians only must complete and submit this form)
PARENT/GUARDIAN #1 (Completing this form)
*
First Name:
*
Last Name:
EMail:
*
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
*
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
*
Emergency Contact:
*
Phone:
*
Relationship to Player:
Insurance Carrier:
Policy #:
WAIVER INFORMATION
I/we agree with the above
*
* indicates required fields
Tryout fee($20)