Personal Information

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Address

Street Address *

State *

City *

Postal Code *

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Basketball Information

Height (inches) *

Preferred Position *

Select Position

Weight (lbs)

Basketball Experience (years) *

Previous Teams or Leagues

Medical Information

Do you have any medical conditions or injuries we should be aware of? *

No

Yes

Please provide details about your medical conditions or injuries

Payment

How would you like to pay? *

Select Payment Method

Private workouts are held in the mornings, Oct 5-9. Floyd will call you to schedule your session.

Uploads (Optional)

Photos / Highlights / Headshots

Consent & Waivers

I consent to participate in the basketball tryouts and certify that all the information provided is accurate. *

I consent to participate in the basketball tryouts and certify that all the information provided is accurate.

I acknowledge and accept the Injury Waiver as described above. *

I grant permission to use my name, image, and likeness as described in the NIL Release above. *