2021/2022 HALTON BASKETBALL CLUB TRYOUT REGISTRATION
HALTON BASKETBALL CLUB
Age Group
*
Please Select
Boys U10-Born 2012/13
Boys U11-Born 2011
Boys U12-Born 2010
Boys U13-Born 2009
Boys U14-Born 2008
Boys U15-Born 2007
Boys U16-Born 2006
Boys U17-Born 2005
Boys U18-Born 2004
Girls U11-Born 2011
Girls U12-Born 2010
Girls U13-Born 2009
Girls U14-Born 2008
Girls U15-Born 2007
Girls U16-Born 2006
Girls U17-Born 2005
Girls U18-Born 2004
Player Name
*
First Name
Last Name
Player Parent Contact
*
First Name
Last Name
Player Birthdate
*
-
Month
-
Day
Year
Date Picker Icon
Email
*
Phone Number
*
-
Area Code
Phone Number
Current/Former Rep/AAU Team
*
Payment Options
*
Etransfer chris@elevatethecommunity.ca (use password elevate)(Include athletes name)
Signature
*
Submit
Should be Empty: