Personal Information

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Address

Street Address *

City *

State *

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

Tryout selection & payment

Which tryout date would you like to attend? *

Select Date

How would you like to pay? *

Select Payment Method

Uploads (Optional)

Photos / Highlights / Headshots

PNG, JPEG or JPG ( max 20 Files )

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. *